Laserfiche WebLink
SAN JOAQUIN CoUNTY, <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPTICANT :,, g.,, O - <br /> ADDRPSS PHONE N <br /> ��r c o..� <br /> AGENCY NAME r�L L l, \ <br /> ADDRESS PHONE NO Z c<is- Stu <br /> LE&D-A 3NCY � <br /> ♦Cr l 7.a.vYtY�C: �.V� , �tl.S <br /> - <br /> �U <br /> �111c �.,or►�1-4SZd t�•��:. .� [� 1-�� ill <br /> ; ac-• <br /> -12 <br /> P�1BUC HEALTH <br /> SER ,:Fl <br /> THIS NOTICE R 3U MCTENTA Hp THg REQUMEMEN IS ID&N7lt4ED IN 'INE PUBLIC HEALTH <br /> SOON <br /> S AQUIN COUIRONMEtDj/1M LTH DIVISION(WID)POLICY#92-007,ORDINANCE CODE OP SAN <br /> IOAQUIN couTITY, 6Hp ppm AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE-AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TBN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2• PUBLIC FILES/RECORDS REVIEW ARE BY <br /> ARRANGED BY CALLING SENT ONt_Y, APPOINTMENTS ARE <br /> (209}468-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M. TO 12:00 NOON AND I:oo P.M. TO 4:30 <br /> P.M. <br /> 3, A PUBLIC RECORDS RELSASE APPLICATION AND A ON-R b LJ?DfiPOS <br /> IS REQUIRED. DEPOSITS WILL, Bfl SUN & TT OF 578_()0 <br /> NOT AVAILABLE R>�7tJRNED TO THE APPLICANT 11' THE FILES/RECORDS ARE <br /> �►',tIHIN THE CUSTODY OF THE EHD. <br /> 4• . THE ABOVE IDENTIFIED DEPOSIT 1S APPLIED TOWARDS THE 'TOTAL FILE REvIEw FEE <br /> CHARGE TI?$ BALANCE OF THE CHAROgS ARE DUE AND PAYABLE p�O! g TO REVIEWING THE <br /> ' DOC'UMEN'T{S). , <br /> 5. <br /> PURLIC F1LF-SMECORDS NOT RETVRNlgD IN THE SAME CONDMON AS RECEIVED CORRECTED BY THE BUD STAPP AT THE axpENSE OF THE 11PPPI.ICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO TILE APPLICANT FOR PAYMENT. <br /> 6• ORIGINAL PUBLIC Fii.ES/RECDRbS SHALL NOT BE"MOVED FROM THE EHD PREMISES' <br /> SIGNATURE OF APPLICANT <br /> DATE 3c q <br /> SIGNATURE OP RELEASING OFFICIAL <br /> EIf DO 14 (REV 12/92) DATE <br /> 1 <br /> Ij1`_0 1 x <br />