Laserfiche WebLink
a IJ <br /> FEB 2 5 1,999 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES ':NVik_% '�:J•!=�) ( " Fi_i=LT <br /> ENVIRONMENTAL HEALTH DIVISIONPEFiPAI ' <br /> � / <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> V : l <br /> APPLICANT d e. S 'TLl PHONE N0 <br /> ADDRESS '?-c I I-: M(6o 4,s'r t I c u <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FULL ADDRESS BUSINESS NAME/ PROGRAM OR <br /> FACILITY TYPE OF FILE <br /> Rc�'- ' <br /> 0n-7`131� cNU <br /> 1ISo 007y`to A ✓nT <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY #94-007, 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 110) PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING (209)468-3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THRU FRIDAY EXCLUDING HOLIDAYS, 3:00 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- 007) <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> ...................... .. «...................... ... ............ <br /> SIGNATURE OF APPLICANT •� •� _DATE C ) <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 9196) <br />