Laserfiche WebLink
09e25/2000 11:53 2094683 FIFTH FLOOR PAGE 02 <br /> SAN J'OAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTIT DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT C/y�/�����/T/�/ T PRONE NO <br /> ADDRESS I0c o.- Fe Wa v� kC<_�+,c, C q <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> PULL ADDRESS BUSINiiSS NAME/ PROGRF.M OR <br /> TYPE OF FTLE <br /> 7 7 <br /> S// Ct ✓_c c0 .c218 3 9O S?O <br /> .tet p e_l //safer <br /> p7—// ie_- eo'-t <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHOI POLICY #94-007, ORDINANCE CODE OF <br /> SAN JOAQUIN COUNTY, EHD FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1 . A MAXIMUM OFTEN J10) PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FiLESIRECOROS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING (2091468-3420. OFFICE HOURS FOR APPOINTMENTS 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 FILESIRECORDS RELEASE APPUCATION (PRRA) IS REQUIRED. <br /> 4. PUBLIC FILESIRECOROS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE. <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE `WILL BE BILLED TO THE APPLICAN•P FOR PAYMENT- (SEE EHD POLICY 94-0071 <br /> 5. ORIGINAL PUBLIC FILESIRECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> ,.. ...........A...................... <br /> SIGNATURE OF APPLICANT DATE d � �� <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 9196) <br /> ZO 39Gd IV3 , b9L9ZE96TL TT:ZT 0002/9Z/G0 <br />