Laserfiche WebLink
Ell 00 14 (ILEV 5/10 SAN JOAQUIN COUNTY19 L�m-I ,r 4- <br /> PUBLIC HEALTH SERVIC <br /> ENVIRONMENTAL HEALTH DIVISION <br /> y� PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT l' rCLv L C T V PHONE NO <br /> Z.S ����� 57�: / <br /> ADDRESS IlS/ac6 f'� l/ <br /> AGENCY NAME NO <br /> ADDRESS <br /> FILE ADDRESS LEAD AGENCY DATE <br /> R E�E I VE D <br /> AUG-24#4-- <br /> va I�c�s l sb� s -PtWRONM t iEFtLTH � <br /> ti 7.S lel . H L�tl F#I F MITt3€MM <br /> O of S eh f Na Lop> 3 ' <br /> ti-� �U I lfJ • INOtiSIn-• rnq'f'— Z <br /> O D40 <br /> 04- <br /> owl ;i12L"T � S <br /> o ZN � W l a c �a S <br /> O Z I � w (L w QC 13 •�)C Mr) <br /> O Z �•✓S�QhIN� <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD)POLICY#94-0071 ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> I. A MAXIMUM OF TEN (III) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW Is BY APPOINTMENT ONLY. APPOINTMENTS ARE ARRANGED BY <br /> CALLING (209)468-0340. OFFICE IIOURS FOR APPOINTMENTS ARB SCIIEDULED MONDAY TIIRU FRIDAY <br /> EXCLUDING HOLIDAYS, 8:00 AM TO 12:00 NOON AND I:00 PM To 4:30 PM. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION (PRRA) IS REQUIRED. <br /> 4. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE CORRECTED <br /> BY THE EHD STAPP AT THE EXPENSE OF TIIE APPLICANT. THIS ADDITIONAL SERVICE WILL BE BILLED TO THE <br /> APPLICANT FOR PAYMENT. (SEE EHD POLICY 94-007) <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM Tim EHD PREMISES. <br /> SIGNATURE OF APPLICANTS DATE Z <br /> SIGNATURE OF RELEASING OF• CTAL bAT& <br /> NO PHS/EHD RECORDS/FIEFS ARE IDENTIFIED: <br /> UAm� LES Au E Non� DAM <br /> PHS/EHD RECORDS/FILES EXIST ON THE ADDRESS(FS) NOTED, YOU WILL BE NOTIFIED WHEN <br /> RECORDS/FILES ARE AVAILABLE FOR REVIEW: <br /> U�mR�vno ne No MAVM VA.! <br /> fzf�C: 61994Aj <br />