Laserfiche WebLink
""'�urri.J1.JV • �� <br /> [,lay 19.1999 03:49PIn FPUM I U <br /> TO <br /> �z9- 999 �:�, .� . .. - • • - 99-128 <br /> SAN JOAOUTN COUNTY <br /> PQSLIc nEALTR SERvycss <br /> ENVIRONMENTAL HSA,LTH DIVISION <br /> ,PUBLIC 31 =RDS RELEME APPLICATION <br /> APPLICANT PHONE NO �S a 34 -0 s 1 <br /> ADDRESS <br /> AGENCY' KAMg PHONE NQ <br /> ADDRESS <br /> #**#iii►'Y'!'1####'ft#*it4####tt't!#i########f'XYtX*t#�'Y#YYtt#i##*Y'##f'4#'!# - <br /> BUS TJESS 29AMS/ PROGE M OR <br /> lrArT7 =PS OF FILR <br /> -*So 1 PE:Qs H�nG �-Ec vcN �QoD SrcleE .0 u3 T- <br /> S Oil Zusr <br /> r, lR6N/k_ t/C SN44/S7- <br /> .4 <br /> dS7-us r <br /> **f#*Ye##'t#A##+f!lrA.###iMir#�*t##tt4tift#irk####tRttttl#ltftxtrtf*!#•ni##t# <br /> THIS NOTICE IS SUg.IECT TO-THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SMWCEWENVMONMENTAL HEALTH_DIVISION (F-HO) POLICY /94-007. ORDINANCE CODE OF <br /> SAN JOAOUIN COUNTY,.C-HO FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE,. <br /> GOVMNME?JT CODE:AND THE:'EVIDENCE'COOS. <br /> 1_ A MAXIMUM OF MIM-PPtMISE ADDRESSES PER REQUEST <br /> 2. 'PUSUC FILESMECORDS RMEiW IS AY ApporfLMI+M1ff OONLY,APPOINTM84TS ARE PROCESS- <br /> ED BY•CALLINQ {2093468.3420.OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 AM TO 12:00 MOON AND 1:00 TO 4:30 PM. <br /> 3. A PUSLIC FRS-"E-CORDS RELEASE APPLICATION (PRRAI IS RECIUIRED. <br /> 4: PUBLIC FASS1RE?CORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE E HD STAFF AT THE EXPEI'tSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL 8E BILLED TO THE APPLICANT FOR PAYMENT. (SEE EHD POLICY 94-007) <br /> S. ORIGWAL PUSUC-FILES/RECORDS.SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> MNATURE OF APPLICAN DATE 6--- t <br /> SIGNATURE OF RELEASING'OFFICIAL DATE <br /> --------------- <br /> ETI 00 14 (REI►9198) <br /> - MTAL P.02 <br />