Laserfiche WebLink
1599 A:.19PM FFu71.1 r. 1 <br /> F � s <br /> FTJA, <br /> SAN JOAQUIN COUt'ITY I l�ICJy <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISLON <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> A(,F'LICAN,r lG Pr530SIAMS PHONu NO ASO P78—(OW' <br /> ADDRESS 9&IL fn( � L T- r-A Ts-7 <br /> AGE[IC7 NAME PIIONF NO <br /> ADDRESS <br /> r r. . •a rrfar:+f aaar• .r•aa.•r . t.a r�a.ifif rr•raraaf rairara♦+rrfra•aa. <br /> F_liLl�1 4Eli�i 1.ISSmjk mr1_ P�� QfiM_S?R <br /> pn ��05� EflSleL1'Y T lgt�—�F--C I.LI: <br /> �Dp 2T,Z`, COuv KY CC146 BWQ _T'l �/ <br /> �C,P �, FuNrAN U sn I r 4 <br /> zc�.c co(A yr _ - Sut <br /> 2 "I , _ E - - <br /> r ZL S I R,luc Ev r nv� <br /> I I a • r r f a a • f a f r f F r f f r i f•f a f a f 1 •9 1 1 .L I f h a a a 1.•r . k Y.r L a r a a Y. • . r. r . . • �� <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENtIFIEO IN THE PUBLIC HEALTH <br /> SERVICESiENVIRONMENTAL HEALTH DIVISION (EHOI POLICY N94-007, ORDINANCE CODE OF <br /> SAN JOAQUIN COUNTY. EHO FEE AND SERVICE CHARGE RESOLUTIONS. STATE WATER CODE. <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEp( (IM PREMISE ADDRESSES PER REQUEST <br /> 7. PI/BLIC FILES/RECORDS REVIEW IS BY APPOINTI1MENT ONLY, APPOINTMENTS ARE PROCESS. <br /> FD BY CALLING (20914(113-3420- OFFICE HOURS FOIL APPOINTMENTS ARE SCHEDULED MONDAY <br /> THRU FRIDAY EXCLUDING HOLIDAYS. 8:00 AM TO 112:00 NOON AND 1:00 TO 1:70 Plot. <br /> 7. A PUBLIC FILES/RECORDS RELEASE APPLICATIO IPRRAI IS REQUIRED. <br /> .1, PUBLIC FILES/RECORDS NOT RETURNED IN THE AME CONDITION AS RECEIVED WILL BE <br /> CORREC'1'FD BY THE EHD STAFF AT THE EXPENSE F THE APPLICANT- THIS ADDITIONAL <br /> SCRVICE WILL BE BILLED TO THE APPLICANT FOR P YMENT. (SEE EHD POLICY 94- 007) <br /> ?. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT B REMOVED FROM THE EHD PREMISES. <br /> . . . . . .. . .. .... . ....... ... .... . .. ..--... .. .. .. .. .. . . . . . . <br /> SIGNATURC OF APPLICANT ,`__DATE �.. <br /> S:GVJATURE OF RELEASING OFFICIAL _DATE__ <br /> EH 00 1.t tREV 9/961 <br /> Peat'atr Fax Note 7871 nef• o+afa� <br /> Te <br /> W-4eq. Co. <br /> Phnno♦ phe e <br /> Fa• _ 192Z •fY 4LI-84-1-13 <br />