Laserfiche WebLink
- i � <br /> 1-N.V"^ !-flit rvl, GUy s� r-)i cru <br /> SAN JOAQUIN COUN'I"Y <br /> PUBLIC IW.LTH SERVICES <br /> ENVIRONMENTAL HEALTH DrYISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT K e vin M K r 6 6+h PHONE NO <br /> ADDRESS <br /> AGENCY NAME l4vcr;t -4 Cp*o. vq--vl—vori4l-p147ztj PHONE NO <br /> ADDRESS 1863 w Marc Lvt , t-t A � 5 oc din <br /> HI.$ ADDRPSS LAAD AGENCY DATE <br /> fttt- atip <br /> 331 O <br /> 31q Wl" -ro.Mv <br /> 110 —�/F trC <br /> 5b - <br /> TICS <br /> bz - <br /> TICS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/FNVTRONMENTAL HEALTH DIVISION(EHD)POLICY#92-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE 'NATER CODE, <br /> GOVERNMENT CODE AND TNB EVIDENCE CODE. <br /> I. A MAXIMUM OF TEN (lo) PM13SE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE BY APPOINTMENT ONLY. 4PPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)466-0340. OFFICE HOURS FOR APPOINTMENTS A.Rl-- SCHEDUUD <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 9:00 A.M. TO 12:00 NOON AND i:00 P.M. TO 4:30 <br /> P.M. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION AND A NON-RFFUNDABLE DEPOSIT OF S78_00 <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILABLE WITHIN TIDE CUSTODY OF THE EHD. <br /> 4. TETE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br /> DOCUMENT(S). <br /> S. AK.,PUBLIC RLES/RECORDS NOT RETURNED IN'THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT THfi EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO TRE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILFS/RECORDS SHALL NOT BE REMOVED FROM THE EHiD PREMISES. <br /> SIGNATURE OF APPLICANTT �iLt DATE 6 <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 12192) <br />