Laserfiche WebLink
SAN JOAQUI N COUNTY <br /> PUBLIC HEALTH SERVICES <br /> FNL IRONMENTAL HEALTH DMSION <br /> (PUBLIC RECORDS RELEASE APPLICATIO <br /> APPLICANT PHONE NO <br /> ADDRESS <br /> AGENCY NAME (4,v, %7 <br /> • / <br /> ADDRESS /8 - 3fQ-i <br /> 7 _ <br /> FILE ADDUI LEAD AGENCY DATE <br /> < 7 J <br /> �) ^ t <br /> j CG 'sY �� � Tit. �< e <br /> Y 'G T C� <br /> f <br /> THIS NOTICE IS SUSIECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIItONMENTAL HEAL'T'H DIVISION(EKD)POLICY#92-007.ORDINANCE CODE OP SAN <br /> JOAQUIN COUNTY, END FEES AND SERuTCE CHARGE RESOLUTIONS, STATE WATER CODE. <br /> GOVERNMENT CODE 4 LND THE EVIDENCE CODE. <br /> 1. PUBLIC FILES CORDS Rfi VffiW ARE BY APPOINTMENT ONLY. APPOIN-TRMNTS ARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENTS 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 /> 2. A PUBLIC RECORDS RELEASE APPLICATION AND A NON-REFUNDABLE DEPOSIT OF 578 9@' S.�•Urc� <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IP THE FII•F.8/RECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE EHD. <br /> 3. THE ABOVE IDENTEMI) DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGfi. THE BALANCE OF THE CHARGES ARE DUB AND PAYABLE PRIO TO REVIEWING THE <br /> DOCUMENT(S). <br /> 4. FUDUC FILES CORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED W[LL 96 <br /> CORRECTED BY THE F.IID STA" AT THE EXPENSE OP THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BUiED TO THE APPLICANT FOR PAYMENT. <br /> S. ORIGINAL PUBLIC FMM/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES• <br /> SIGNATURE OF APPLICANT ;r r' G �� DATE A0 <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> FH OO 14 (REV 10/92) L f <br />