Laserfiche WebLink
1 <br /> Ell UU 14 (IZEV 5/94) SAN JOAQUIN COUN'T'Y <br /> PUBLIC IIEAL'.17I SER " ---A <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 1'U IC REMIMS II.ELEASE APPLICATION <br /> APPLICANT (� PHONE NO - D <br /> ADDRESS i} I <br /> AGENCY NAME ' PHONE NO <br /> ADDRESS <br /> ii <br /> ,i <br /> FILE ADDRESS LEAD AGENCY DATEuf <br /> ' <br /> y. ? <br /> fp �I <br /> 41"i" k <br /> .3 :, 194 <br /> kNVIk 0NEl-� <br /> fvI1 k HEALM <br /> , <br /> THIS NOTICE IS SUBIECT TO THE REQUIREMENTS 1DENT[FIEDk IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTALHEALTH DIVISION (CFID)POLICY 1194-W7, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE R.ESOLUI70NS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. { <br /> I. A MAXIMUM OF TEN (10) PRE-miSE ADDRESSES PER REQUEST. 'i <br /> 2. PUBLIC FILES/RECORDS REVIEW Is By APPOINTMENT ONLY. APPOINTMENTS ARE ARRANGED BY t <br /> CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCIICDULED MONDAY TIIRU FRIDAY <br /> EXCLUDING HOLIDAYS, 8:00 AM TO 12:00 NOON AND 1:00 PM T04:30 PM. E <br /> 3. n PUBLIC RECORDS RF-LEAse APPLicA•riON (['RRA) I5 REQUIRED. 1 <br /> 4. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONI ITIO_N AS RECEIVED WILL BE CORRECTED <br /> BY THE CMD STAFF AT THE .EXPENSE OF TIM APPLICANT. TIRS ADDrrIONALISERVICE WILL BE BILLED TO THE <br /> APPLICANT FOR PAYMENT. (SEE EHD POLICY 94-007) <br /> 5. ORIGINAL PUBLIC FILESIRECOR 5 A NOT 8E REMOVED: OM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT ,, DAT); y <br /> I <br /> SIGNATUREOF RELEASING OFFICIAL DATE } <br /> NO PHS/EIID RECORDS/FiLrS ARE IDENTIFIED: <br /> 1 <br /> PHS/EHD RECORDS/FILES EXIST ON THE ADDRESS(FS) NOTED. YOU.WILL BE NOTIFIED WHEN <br /> RECORDS/FILES ARE AVAILABLE FOR REVIEW! <br /> b�rnRmnrra sr. KMIMCAMW DATA! <br /> ^F h <br /> a <br /> AUG 2 5 1994 <br />