Laserfiche WebLink
Z0.d -Ulm <br /> I <br /> SAN 'JOAQT;IIY COUNTY <br /> PLIBLIC HLAi,TH SERVICES <br /> 2NVIRONMFNTAL HPALTH DIVISION <br /> ll PUBLIC RBCORDS RBLgASE APPLXC'ATION . <br /> APPLICANT l cv- V1 --_ PHONB NO2'�Ta' _.. <br /> ADDRESS 4OO a� <br /> AGENCY NAMCy � C`_ a' . <br /> Ix or 15HON1� N 5 -- <br /> ADDRESS +z.+-•_��-- <br /> �i�•k'rtt#�•*�r**•k�c•kir'k�rkf�'rY�t*1kr•it3'�'4t*�Yirt*ittYF#itlY#��t*•t-/rytt***'�it�r+r***x <br /> pACIC•}�AM OR <br /> FULL .SL?R� ZNS3S N1IL TYPB OF F-UZ <br /> I.e <br /> Z 2� u�fi'•� ,ra ` <br /> q'V3OI ffL� erh�n t- <br /> t <br /> S• (, <br /> -14 I V-.n c i toC <br /> �*�t�It���c**tom*t,��-Jr•t-Ib�,,�rrtx���.f+4*��ar#� ,r�,�_� <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PU13LIC HEALTH <br /> SERVICES/ENVIRONMENTA1n HEALTH DIVISION (EHDI POLICY #94-007, ORL)INANCE: C4DE OF <br /> SAN JOAQUIN COUNTY. EHD FEE ANIS SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIOr:NCE CODE. <br /> 1. A MAXIMUM QF jM 142 pREMISE ADDRESSES PER REQUEST <br /> Z. PUBLIC FILES/RECORDS REvIEw IS BY PPOIN ONLY APPOINTMIENTS ARE PROCESS- <br /> ED BY CALLING 120.51468-3420, 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 FILESiRECORDS RELEASE APPLICATION (PRRA) IS REQUIRED. <br /> 4. PUBLIC RLES/RECORDS NOT RMRNED 1N THE SAME CONDITION AS RECEIVE=D WILL BE <br /> CORRECTE=Q BY THE EHD STAFF= AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL 80 1311.LED TO THE APPLICANT FOR PAYMENT. (SEI: EHO POLIC=Y 94-007) <br /> S. ORIGINAL PUBLIC FILESIRECORDS SHALL NOT BE REMOVED FROM•THE EHD PREMISES_ <br /> riFwwr.trf.,at tt+. 40CIAI <br /> i SIGNATURE OF APPLICATSIGNATURE OF RELEAS - . DATE <br /> EH 00 14 (REV 91915) <br /> ' r. <br />