Laserfiche WebLink
SAN JOAQUIN COUNTY �..� <br /> PUBLIC HEALTII SERVICES <br /> ENVIRONMENTAL IIEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATIONS . ` �f `V/ <br /> � i <br /> APPLICANT (,r /t G�` PHONE NO,-' 14-;' <br /> ADDRESS />'T //k v l y,c Cir <br /> AGENCY NAME/!mac G�z/-e��/�!!��-7`" PHONE IqO <br /> ADDRESS <br /> FILE ADDRESS ' <br /> e/ 7 lo/oz t/s 7,' z. 7.` <br /> / Z /�{ Gt/, GfluJl ,•i��: 7''"U/J S��ee�" G^lOi1n�(�Jct�C!- �c'�' ����nG-�'�n <br /> - <br /> q yd 1-/j [7 <br /> 77i' ^ fir — 1,rT 4/^d(//'£ <br /> THIS NOTICE 1S SUBJECT TO ITIE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD)POLICY#92CODE OF SAN <br /> JOAQUIN COUNTY, END FEES AND SERVICE CHARGE RESOLUl <br /> � ATER CODE, <br /> GOVERNMENT CODE'AND THE EVIDENCE CODE. <br /> JAN 2 8 1994 <br /> 1. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQVMM OAQUIN COUNTY <br /> pU19LIC Ht; LTIi'.1ERVICES <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE BY APPOINTI!'WiF{f11-WWAl_KKbilQfYJA0TS 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 /> 3. A PUBLIC RECORDS RELEASE APPLICA'T'ION AND A NON-REFUNDABLE DEPOSIT OF$78.00 <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE EMD. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br /> DOCUMENT(S). <br /> 5. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT TFIE EXPENSE OF TILE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> 42� 7� <br /> SIGNATURE OF APPLICANT / DATE eY <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> Ell 00 14 (REV 12/92) <br />