Laserfiche WebLink
V 1 J IJJ/ u. I�f I i ,�� i.v �el`r .-.r,r vr.w „yKC�Y • �/_ —' �, <br /> ;;Z?, r ; <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONN ENTAL 119ALTII DIVISION <br /> /PUBLIC RECORDS RELEASE APPLICATION <br /> APPIICANT All140�eJPIiONEN1O J 40-- <br /> / <br /> ADDRESS �mp-!, ,L q 64- <br /> AGENCY NAME___. NO <br /> ADDRESS <br /> f7LR ADDRELa A ECI llATP <br /> 1111S NOTICE IS SUBJECT TO 171E REQUIRFnA4ENTS FUBNITFIFD IN I'HF. PUBLIC IiEAL-m <br /> SFRV1CFi5/13NVIRONMEN'CA[.FiEALTII DIVISION(Fill)) POLICY 4'92-001,ORDINANCECODE OF SAN <br /> JOAQ13IN COUNTY, MID FEES AND SERVICE CHARGE RESOL(f110NS, S'I'A-1'E WATER CODE, <br /> ODV ERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PtIBLIC 1:11-FiS/RECORDS REV114W ARE BY 1iPM31NTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CM I]NO (209)468-0340. OFFICE, HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY IIiRU FRIDAY EXCLUDING IIOLIDAYS, 8:00 A.M. 'TO 12:00 NOON AND 1.00 P.M. 'CO 4:30 <br /> P.M. <br /> 3. A PUBIIC RL'COROS RFI_L'ASG APPLIQA'[lON AND A NON=R EPUNDA111-1f Dr- 0 TO -578.00 <br /> IS REQUIRED. DEPOSITS WILL_ BE RM-URNED TO THE APPLICANT IF '1'Hli PILES/RECORDS ARL• <br /> NOT AVAILABLE. WIII4IN THE CUSTODY OF THP MID. <br /> 4. 771E ABOVE IDENTIFIFD DEPOSIT IS APPLIFD TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BAL ANC1i OP TI4E C14ARGE-S ARE DUE AND PAYABLE 'LR10 jt 1.0 RIMEW1NG 1.118 <br /> DOCUMFs1T(S). <br /> .1. PUBLICFILrsawCORDSNor RMt1RNEDINTIILSAME CONDIITONASRI:CFIVEDWILL BE <br /> CORRE(TET7 BY TILE FIID STAFF AT TIIE EXPENSE OF 'Il1E APPIICANT. 'MIS ADDI11ONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC PILES/RECORDS SHALL NOT BE REMOVED FROM TII'EE EHD PREMISES. <br /> SIGNATURE OP APPLICANT' _ DATE <br /> SIONATURE OF RELEASING Of FICIAL DATE <br /> EH 00 14 (REV 12192) - <br />