Laserfiche WebLink
SAN JOAQU.IN COUNTY <br /> Pr1D1.,TC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPI,TCANT L` P1 11r _PHONE NO 3 c c <br /> ADDRESS PHONE NO <br /> AGENCY NAP4E iLaI <br /> ADDRESS I I I `F� (G 1 r �_�� i t (,Yl <br /> i ! l <br /> f.?ULL _jll)DRBS_S �USINIiSS NF1MftL PI20GRMAOR <br /> .1' <br /> FACTLIY TYPE OF FILE <br /> _i <br /> 44f * * ** t#*# 4**'#*###*#**i *# R4 *44 ## *#'4#******#*#*#*##t##*#*#*#*#### <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION IEHDI POLICY #94-007, ORDINANCE CODE OF <br /> SAN JOAQUIN COUNTY, EFID 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 FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING 1209)468-3420. OFFICE HOURS FOR APPOINTMENTS ARE,SCHEDULED MONDAY <br /> THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 AM TO 12:00 NOON AND 1:00 TO 4:30 PM. <br /> 3. A PUBLIC FILES/RECORDS RELEASE APPLICATION IPRRAI IS REQUIRED. <br /> 4. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EFID STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANr FOR PAYMENT. (SEE EHD POLICY 94- 007) <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALT_ NOT BE REMOVED FROM THE EHD PREMISES. <br /> . . . . . . .. . . . . ... . .. . .. . . . . . ... . .`��C'.i. . . . .... . . ... <br /> ./ .. . . DATE ., `. . ... ... . . <br /> SIGNATURE OF APPLICAN- i /jr (G��w f—lt�- ' • I �� <br /> Lf <br /> SIGNATURE OF RELEASING OFFICI ( , r �L�ATE CC`1 <br /> EH 00 14 (REV 9/96) <br />