Laserfiche WebLink
EIl 00 14 (REV 5194)• SAN JOAQUIN COUNTY • <br /> PUIILIC IIEALTH SERVICTsS <br /> ENVIRONMENTAL IIEALTII DIVISION <br /> PUBLIC RECORDS I)ELEASE APPLICATION <br /> PHONE NO <br /> APPLICANT ( �A ✓1 <br /> ADDRESSCk V vl ren � x pHONE NO � 00- D <br /> AGENCY NAME a-'k I I /ZO 3 <br /> ADDRESS ZR <br /> LEAD_ A_� DATE <br /> FILE_ ADDRESS t�SP <br /> 8izG� <br /> Z'6q fu�7Z) <br /> IDI , Lf <br /> cc c' <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY#94-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1, A MAXIMUM OF TEN (10) PRCMI3E ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTmErrrS ARE ARRANOED BY <br /> CALLING (209)46&0340. OrrlcE nouRS roR APPOINTMENTS ARE SCHEDULED MONDAY TIIRU FRIDAY <br /> EXCLUDING HOLIDAYS, 3:00 AM TO 12:00 NOON AND 1:00 PM TO 4:30 PM. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION (PRRA) IS REQUIRED. <br /> 4. PUBLIC FILES/RECORDS NOT RETURNCD M TIIE SAME CONDITION AS RECEIVED WILL BE CORRECTED <br /> BY THE EHD STAFF AT THE EXPENSE Or TIM APPLICANT. TiMS 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 TIIE EHD PREMISES. <br /> SIGNATURE OF APPLICANT pp DATE / <br /> SIGNATURE OF RELEASING OFFICIAL <br /> - lJ ^b V1` DATE <br /> No PHS/EHD RECORDs/FILES ARE IDENTIrIED: nm <br /> nwn: Neva.,:o nt <br /> PHS/END RECORDS/FILES EXIST ON THE ADDRESS(ES) NOTED. YOU WILL BE NOTIFIED WHEN <br /> RECORDS/FILFS ARE AVAILABLE FOR REVIEW: <br /> r <br />