Laserfiche WebLink
SAN joAQuiN COUNTY t <br /> PUBLIC HEALTH SERVICES _ff <br /> ENVIRONMENTAL HEALTH DIVISIONT <br /> PUTBLIC RECORDS RELEASE APPLICATION <br /> Z <br /> APPLICANT A W —PHONE NO �41 <br /> ADDRESS— 53 Ll T�c f2 A ry'l c <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> vo rvi <br /> D <br /> FH-h ADUP <br /> LESS <br /> W Wrt R'.. .5 c ce v I CE to a'). c- Lv­yvlcrrt�_:� <br /> C-Uld AMSuu4rjc6 1,0 <br /> 1533 F <br /> —,-rzp-c va-in-i rvins� 1 R-A N'Sul­ W L,6 A <br /> btl--T-,--) f"Inim <br /> -12E L-7-M E9 Mf F_:�— _s 6 1? lvlfll�j <br /> r4l S'�s' vlc'E- Imol r'qAjk7 <br /> gQe V_ 1;4 e0s, _CDN Sn P-Lk-'r I a4 f 14 ly)MAZLY __LL_ <br /> �7- <br /> i NE t2- <br /> 11 OF s-rocr--low _<orvo P-A <br /> 3 1 U <br /> rvi I S <br /> Utjiot,4 <br /> IFF. <br /> k lell l"e- <br /> or <br /> THIS NOTICE ISCT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICRSIENVTRO <br /> AL HEALTH DIVISIONN(E34D)POLICY#92-007,ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, D FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE THE EVIDENCE CODE. <br /> 1. PUBLIC FILESfolmCORDS REVIEW ARE BY APPOINTMENTS ARE <br /> G <br /> ARRANGED BY C (209)468-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY TTERU FEREDAt—EXCLUDING HOLIDAYS, 8:00 A.M. TO 12-00 NOON AND 1:00 P.M. TO 4:30 <br /> P.M. RE1) DEPOSrr OF $78-00 <br /> 2. A PUBLIC RECORDS RELEASE APPLICATION AND A NON-. IF THE FELES/RECORDS ARE <br /> IS REQUIRED. DEPOS TS WILL BE RETURNED To THE APPLICANT <br /> NOT AVAILABLE WM 3N THE CUSTODY OF THE ERD. <br /> osrr is APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> 3. THE ABOVE II ENTIFIED DEP <br /> OLkRGE. THE B"CE OF THE CRARc <br /> ,P-S ARE DUE AND PAYABLE PRIOg TO REVIEWING THE <br /> DOCUMENT(S). IN THE SAME CONDITION AS RECEIVED WILL BE <br /> 4. PUBLIC FH-ES[, CORDS NOT RETURNED <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE Of THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WELL BE BWED TO THE APPLICANT FOR PAYMENT. <br /> S. ORIGINAL puB�jc MM/RECORDS SHALL NOT BE REMOVED FROM THE ERD PR�KSES. <br /> SIGNATURE OF APPLI ANT <br /> -7-N <br /> SIGNATURE OF REL EA SING OFFICIAL DATE <br /> EK 00 14 (REV 10/92) <br /> q <br /> I 'd wo8i <br />