Laserfiche WebLink
L"II 00 14 (REY 51M SAN JOAQUIN COUNTY — <br /> F) <br /> PUDLIC III4ALTII SLRVICI Q _G �S <br /> ENIqRONI rXrAL HEALTH DIVISION <br /> PUDLIC MCQRDS RELrAST APPLICATION <br /> Fog Af Sid/kR�zAtJ + SSoL. PHONA NO (ro1�3�dx zzo0 <br /> APPLICANT w morn C�ov is C,h %3G�a <br /> ADDRESS ZfY <br /> AGENCY NPRONE NO <br /> AMf3 <br /> ADDRESS <br /> FILE ADDRESS L=BAD AGENCY DD <br /> 3575- /fYQ Covr f <br /> 3 a/ �er Y e Coit <br /> kr! i- s Y <br /> �- <br /> s+eS6 ER„xq,✓ OiPrvE <br /> /1ll.Ql.�l�l�” 9St'� �.✓O�ryrRrAa OR, v t <br /> THIS NOTICE IS SUBJECT TO 1-146 RFQUIREMGNTS IDGNTIPIED IN THE PU13LIC HEALTH <br /> JOAQ IN COUNTY, EHD r ES AND SERVIOCE C14ARG13 RSSOL1�ONS'STATE WAIINANCE CODE 013 SAN <br /> COb6 <br /> OOVER14MENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN (10) PREM118 ADDRE3389 PER REQUEST. <br /> 2. PUBLIC FILF-TRECORDS REVIEW M By APPOINTMENT ONLY. APPOINTMENTS ARE ARRANOED BY <br /> CALLING (209)468-0340. OFMCH HOURS POR APPOINTMENTS ARE SCHEDULED NIONDAT TIIRU FAIDAY <br /> J:XCLUDING HOLIDAYS, 9:00 AM TO 12:90 NOON AND I:00 PM TO 4:3D PM_ <br /> 3. A PUnIJC REcoam REL.HAJR APPLICAtION(PARA) 17 ItEQUBiBb. <br /> 4. PUDLIC FILF.S/RECORDS NOT RSNRNED W TIIB SAME CONDITION AS RECFJVED WILL D6 CORRECTED <br /> BY INE EHD ITAFR AT THE EXFGNSR OP TIIR APPLIGNT. 11113 ADDITIONAL SERVICR WILL BR BILLED TO 711E <br /> APPLICANT FOR PATMPNT. (SER END POLICY 94-047) <br /> 5. ORIGINAL PUBLIC FILESIRECORDS SiIALL NOT BE REMOVED FROM 5116 EHD PREMISED. <br /> SIGNATURE OIC APPLICANT DATH <br /> SIGNATURE OF RtUlASING OFFICIAL DATE <br /> No PHSIEND RBCORD3/FIL9R ARE IDENTIFIED: <br /> bin. ■www��, Ibnnewmw b/.rn <br /> PLIS/EIID RECORDS/FILEI EXLIT ON THR ADOREM(ES) NOTED. YOU WILL BE NOTIFIED WHEN <br /> RECORDS/FYLES ARE AVAILABLE EOR RETIEW! <br /> [ym Fps 111 :1�e1,�'t�dm <br />