Laserfiche WebLink
090'25/2000 11:53 209460; 3 FIFTH FLDOR PAGE 02 <br /> SAN JOAQUIN COUNTY <br /> PUBL:C HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT �y�/�y���/T/;� L1LI PHONE NO 7/Y�63�-mss Zl <br /> ,ADDRESS IoSie�c Way �u r� r (nc� � ,c LFE B?a -� Ib� <br /> AGENCY NAME enoNE NO <br /> ADDRESS <br /> ##x*ttit+#ktr;t*-rrriwr#rttr**x*t+t*#ttt*w-rkt+tvrtir t;rttx#iktt#tiyi:# <br /> _r:Q ,L ADDRESS BUSSNI3SS NAME/ PROGRAM OR <br /> $ACIL.CC;I TYPE OF FILE <br /> ✓r//v 1,19 ae �G�✓ tae G�fi��o � 39odYs` <br /> �yy.rr- <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUeuC HEALTri <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHOI POLICY 894-007, 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 1701 PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILESIRECORDS 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 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 ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT- (SEE EHD POLICY 94-0071 <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT <br /> SIGNATURE OF RELEASING OFFICIALDATEAl-)_7�Ioo <br /> EH 00 14 (REV 9196) <br /> Z0 39Vd IV3 V9L9ZE9VTL TT :ZT 000Z/5Z/60 <br />