Laserfiche WebLink
f �ft5 I VN <br />c"' jul Q 1 <br />5 "ie - <br />5 i vt,n i vm t,vrtr @ o -c u -a4 , a - c r n , VVI% I ,..11 — <br />1994 SAN JOAQUIN COUNTY <br />PUBLIC HEALTH SERVICES <br />ENVIRONIVI MAL HEALTH DIVISION <br />PUBLIC RECORDS RELEASE APPLICATION <br />u <br />APPL,ICILNT : S. (�o.r Ks PHONE No. 6209) 14 i U- 1 b3s— <br />ADDRESS SZ-%� S+e 1 "2. S t2- tt_ ---, r A 1 Szo'7 <br />AGENCY NAME PHONE NO <br />ADDRESS S7 c -M- J C z a <br />THIS NOTICE I8 SUBlHCT To THB RBQUQtEMHNTs mENTtkIED IN THE PUBLIC HBALM' <br />SERVIC sWENVIRONMENTAL HEALTH DIVISION (EHD) POLICY (9:2-007, ORDINANCE CODS OF SAN <br />JOAQUIN COUNTY, HHD FEES AND SERVICE CHAROB RBSOLI7TIONS. S'L'ATE WATER COD -S' <br />r,OVERNMENT CODS AND THE EVIDENCE CODE. <br />I. A MAJUMUM OF TEN (10) PREMISE ADDRBSSO PER REQUEST. <br />2- PUDLIC FILESMECORDS REVIEW ARE BY APPO2MjENT ONLX- APPOINTMENTS ARE <br />ARRANGED BY CALLING (209 MM -0340. OFFICE HOURS FOR APPOINTMEIM ARE SCHEDUM <br />MONDAY UIRU FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M. TO 12:00 NOON AND 1.00 P.M. TO 4:30 <br />tm. <br />3. A PUBLIC RECORDS RBLEASB APPLICATION AND A DIQN-REFUNDAR DEPOSIT OF $78.00 <br />IS REQUIRED. DEPOSITS WET, BE REMRNED TO THE APPUCANT IF THE PILRS/RBCORM ARE <br />NOT AVAILABLE WTITDN THE CUSTODY OF THE EHD. <br />4. THIS ABOVE IDGNTtFIED DEPOSIT 19 APPLIIRD TOWARDS THH TOTAL FILE RBVLSW FHB <br />CTIARGE. THE BALANCE OF THB CHARGES ARE DUE AND PAYABLE BM TO REVIHWINO THU <br />DOCUMENT(3). <br />S. PUBLIC FIL,ESIRECORDS NOT RETURNED IN THE 9AMta CONDITION AS R13CIBVED WILL BE <br />CORRECTEJ7 BY T 4B EHD STAFF AT THE BXFBNSE OF THE AMlcANT. THIS ADDITIONAL <br />3$RVICII PALL BE BIU.HD TO THE APFLICANT FOR PAYMENT. <br />6. ORIGINAL PUBLIC FiLesi BCORDS SHALL NOT BE REMOVED FROM TIM BHD PRIlMI3IiS. <br />SIGNATURE OF APFUCAW <br />SIGNATURE OF RELEASING OFFICIAL <br />SH 00 14 (REV 12192) <br />DATE _ o l -2 <br />DATE <br />