Laserfiche WebLink
Z7 <br /> 2 3 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC REECCO-RDS R3 LEASE AP.P-LICAT ON <br /> APPLICANT Cc �o� v��� $�2'ra05 <br /> �`( NE NO <br /> ADDRESS *2-S- &-). cE-(- 4 <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> ***************************************************************** <br /> FULL ADDRESS BUSINESS NAME/ PROGRAM OR <br /> FACILITY p TYPE OF FILE <br /> >r 7 /1.�e.�.(o(� <br /> �aZ -r �lnnseu (�io6o �4:►►�,C Ac, -P-� ( �. L42-3 A] . AL17DuljpJ T3 ,e <br /> ce <br /> q <br /> 9779 ccJ�ei�iT1` o>St� ,APD, f .Z�j,dam L! <br /> bAj <br /> YL <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) 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 OF TEN (10) PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS <br /> BY CALLING (209)468-3420. 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 FILES/RECORDS RELEASE APPLICATION (PRRA) IS REQUIRED. <br /> 4. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS APPLICANT. THIS <br /> ADDITIONAL SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. (SEE EHD POLICY <br /> 94- 007) <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> ++++++++++a+++t+++:++a+• + +++a+++a + ++a+ +t++++a++t++ +++ t++++++aaa <br /> SIGNATURE OF APPLICANT c� L DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> SEH 00 14 (REV 9/96) <br /> U\� <br />