Laserfiche WebLink
• SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTII DIVISION <br /> PUBLIC RECORDS RELEASE <br /> \APPLICATION <br /> APPLICANT�c r� ! A ("fyl z� J PHONE NO <br /> ADDRESSL;2--3 C�rYvrr`�cr tC'_� o oz� C/4 <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> ME ADDRESS LEAD AGENCY DATE <br /> P!1ry(^ R1C3 3��5 N lacaB)yc! <br /> IM't�»unfit5 `'4�([5S (4131 z i�f��1 <br /> Qkaj� Hbl(,j. a-. <br /> ves+e._ ffVA �b f Rlucl r.1 <br /> qho <br /> 5^ �1�1' ' 3725 N C31�d <br /> wk&'S 340 <br /> j u ZFZ of EifG..:.� u <br /> Unocal 32-8 tJ. TfUc r F0,8- <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SF.RVTCF.S/ENVIRONMENTAL HEALTH DIVISION(EHD)POLICY 892-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> I. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE BY APPOINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALI-ING (209)468-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M. TO 12:00 NOON AND 1:00 P.M. TO 4:30 <br /> P.M. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION AND A NON-REFUNDABLE DEPOSIT OF$78.00 <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE EHD. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br /> DOCUMENT(S). <br /> 5. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT DATE /6 ',3 <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> „ <br /> FH 00 14 (REV 12/92) + <br /> � a <br />