Laserfiche WebLink
02-08-1994 09:16AM FRQf1 TO 1916786'7630 P.02 <br /> SAN joA,QUIN,COUNTY <br /> ITUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DMSIGN <br /> PUBLIC RECORDS RELEASE AITLICATION <br /> APPIICAN-1- PHONE NO <br /> ADDRESS fl SD �� �• � �`� �� w <br /> AGENCY NAME h PHONE ND <br /> ADDRESS <br /> � F <br /> >� I <br /> b5� <br /> g- <br /> 13q 5C,��t�t- 5T• �N� , <br /> i <br /> rt <br /> Y <br /> ..�.0 <br /> ji <br /> i QL1iRrrn••- 1iTy. <br /> PUBLIC HEALTH&ERYI ' <br /> tMVIEURMMAL REMWDIVISION <br /> JRUC <br /> it <br /> THIS NOTICE IS. <br /> SUBJECT jT0 HE O {EHD)POLICY IFIED N TRE DICE CODEHU AN <br /> pT <br /> SERVICI9S.�NVlKgNMBNTA HEAL DIVISION <br /> ]OAQUIN COUNTY, EI-EDFEES AND SERVICE CHARGE RFSOLUnONS, STATE WATER CODE, <br /> GOVERNMENT CPDE AND THE EVIDENT CO <br /> i. A MAMmIlM OF TEN.(I0)PREMISE ADDR65s6s PER R8QU1~ST. <br /> 2, pU131IC FILES/RECORDS REVIEW ARE BY AFPOINTMIr ONLY. APPOINTI� NTS ARE <br /> ARRANGED BY CALUNG (209)468-0340• OFFICE HOURS POR APPOINTMMgTS 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 /> AH DE <br /> POSIT OF$78.00 <br /> 3. A F'tJBL1C RECORDS RfiLEASI~APPLICATION AND A 'UCORDS ARE <br /> IS REQUIRED. DEPOSITS VALL.RE RETURNED TO THE APPLICANT IF 'THE <br /> NOT AVAILABLE WITHIN THfi CUSTODY OF THE-EHD. <br /> 4 <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW,FEE <br /> CHARGE. THE,BALANCE OF THE CRARGES ARd DUB AND PAYABLE N$TO REVIEWING THE <br /> DOCUMENT(S).;' <br /> N i <br /> S, VUBLiC EIL.I~SIREECARDS NOT RMRNED.IN THE SAME CONDITION AS RBCEIVED WILL BE <br /> `\ CORRECTED BY THE EHD'i STAFF AT THE EXPE sE Ole THC ApF1,ICANT. THIS ADDITIONAL <br /> `a SERVICU WILL 13L BILLED' O THE APPLICANT IT:Oit PAYMENT.- <br /> 6. <br /> AYMENT..6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES, <br /> SIGNATURE OF,APPLICANT DATE <br /> n+r+w+ •rr r�C nF <br /> DATE <br /> VVI F ARIMP OFFICIAL - <br />