Laserfiche WebLink
LII OU 14 (REV 5194) SAN .►OAQUIN COUNTY <br /> PUBLIC HEAL 11 SERVICES A-e�-7r-/370 <br /> ENVIRONMENTAL III,AL1'II DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> /p rlsc Zane <br /> APPLICAf\vr PHONE NO SIO �1� ,32ZZ. <br /> ADDRESS /, ill) u_ 1JtcoW (JASS RD 1 A o w7, C�2�s 9XSGS <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FILL_ ADDRESS LEAD AGENCY DATL <br /> TFIIS NO'T'ICE IS SUBJECT TO TIM REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL IIEALTII DIVISION (E-HD) POLICY#94-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, MID FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> I. A MAXIMUM OF TEN (I0) PREMISE ADDRESSES PER REQUES"r. <br /> 2. PUBLIC FILES/RECORDS REVIEW Is EY APPOINTMGNTONLY. APPOINTMENTS ARE ARRANGED BY <br /> CALLING (209)468-0340. OrFICE IIOURS rOR APPOINTMENTS ARE SCIMDULED MONDAY TIIRU FRIDAY <br /> EXCLUDING HOLIDAYS, 8:00 AAI To 12:00 NOON AND 1:00 PM To 4:30 PM. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION (PRRA) IS REQUIRED. - <br /> 4. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL 1113 CURRECTaD <br /> BY 'fila EIID sTArF AT TIIE EXPENSE Or TIIE APPLICANT. THIS ADDri"IONAL SERVICE WILL BE BILLED TO 7118 <br /> APPLICANT rOR PAYMENT. (SEE MID POLICY 94-007) <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NO" BE REMOVED FROM THE GHD PREMISES. <br /> SIGNATURE OF APPLICANT DATL / S <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> JE coabs/FILES ARE IDENTIr•IEDIIDS/PILES EXIST ON TIIE AbbRESS(ES) NOTED. YOU WILL. BE NOTIFIED WIZEN <br /> AVAILABI.E FUR REVIEW: <br /> R...." nrwnm MINI <br /> _ - 7 I <br />