Laserfiche WebLink
SAN J'OAQUIN COUNTY <br /> f f PUBLIC HEALTH SERVICES <br /> C / ( P ENVIRO"IENTAL, RRALTH DIVISION <br /> / Njyl PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT PHONE NO <br /> ADDRESS. <br /> AGENCY NAME„��rx�r7 121zo ZQ PHONE NO <br /> ADDRESS <br /> I <br /> FULL ADDRESS BUSINESS NAME PROGRAM OR <br /> FACILITY TYPE OF FILE <br /> I l . ��✓a �x .� /Jd c�� ,4rfP ChGy`�1c J � 3s a � <br /> 3 !/r <br /> 4 . . n / ��� ^i vr�i- , lr7/ Gl/PH <br /> .57 I' e Jr4f c <br /> 8 . <br /> t # ir # # x # x # # * # * * # # w # # # # w + * * wkk * # * # # * # # # # + # ♦ # kx * * * * * * # + # + * ,t * xxx * x -k # # ' <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY #94.007, ORDINANCE CODE OF <br /> SAN JOAQUIN COUNTY, EHD FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1 . A MAXIMUM OF TEN 1101 PREMISE ADDRESSES PER REQUEST <br /> 2 , PUBLIC FILESIRECORDS REVIEW IS BY gPPO1NTMENT ONLY. APPOINTMENTS ARE PROCESS- <br /> ' ED BY CALLING 120914683420 , OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THRU FRIDAY EXCLUDING HOLIDAYS, B:00 AM TO 1Z00 NOON AND 1 :00 TO 4:30 PM . <br /> 3 . ' A PUBLIC FILES/RECORDS RELEASE APPLICATION (PRRAI IS REQUIRED . <br /> 4 , PUBLIC FILESIRECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT , THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. ISEE EHD POLICY 94- 007) <br /> 1p <br /> 5 , ORIGINAL PUBLIC FILES/RECO S SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICAN DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE. <br /> EH 00 14 IREV 9/961 <br /> ,.- <br /> . 1 <br />