Laserfiche WebLink
Y JAN-09-03 THU 04; 16 PY WEST"wFAIA BANK FAX:209 571 140'^- PAGE 2 <br /> vai vii Anna tb:b!i 20946133 FIFTH FLOOR <br /> PAGE 02 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> 39VIROMMMrAL Ii EY DM93:ON <br /> PUBLIC "CORDS RELSA98 APPLICATION <br /> APPLICAW LINDA LILLIE, AVP PAONl3 I70 (dna 5dAti�:Q <br /> ADDRESS <br /> AGENCY N WF,*jrr� gA�K PA NO <br /> ADDRESS 302 t <br /> r,rw,rf,r*,r*wt,tr�*#twe*ttr#tr*t#w#x#-r*w*****+tti+r*w*w*,rttt+►##*i•lfwt##r <br /> 1<UI,L�D R 9 9 9INIZQQ �jA1Mf:L PRQU" QR <br /> TYPE ejU <br /> 201 5th Street w Ripon, CA DeBoeDr <br /> - ��.� _ <br /> THIS NOTICE IS SUBJECT TO THE REaU1REMENTS ID@NTIFIED IN THE PUBLIC HI ALTH <br /> SERVICES/ENtARONMFNTAL HEALTH DMS10N (EM01 POLICY 064-007, ORDINANCE CODE OF <br /> SAN JOAQUIN COUNTY, END FEE AND SERVICE CHMGE 149SOLUTIONS, STATE WATERCOQE, <br /> GOVERNMENT"CODE AND THO EVINCE COQIL <br /> 1. A MAXIMUM OF 10 U-01 PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FIL ES/RECORDS REVIffw is !!Y APPOMMF31{'f'QM.Y, APPONNTMgMTS ARE PROCESS- <br /> ED BY CALLING (2091498-3420, O"ICE HOURS FOR APPOR"ENTS ARE SCHEDULED MONDAY <br /> THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 AM TO 12:00 NOON AND 1:00 TO 4:30 PM. <br /> 3. A PUBLIC FILES/RECORDS RELEASE APPLICATION (PARA) 18 REOUIRED. <br /> 4. PUBLIC FILESIRECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE. <br /> CORRECTED GY THE EHD STAFF AT THE EXPENSE OF T4IE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL IN BILLM TO THE APPLICANT FOR PAYMENT. ISM EHD POLICY 84-OOT) <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SMALL NOT Be REMOVED FROM THE &HD PREMISES. <br /> •��t�i���Aii s��ifs•�.ri�• ♦+w�e�..�• ♦��A�•A♦�a���A������fAs•.�1wfi?i�r*���• <br /> SIGNATURE OF APPLICANT <br /> SIGNATURE Of'RELEASING OFFICIAL ATE _ <br /> EH 00 14 IRI!V 9/941 <br />