Laserfiche WebLink
19/29/1997 1h:22 <br /> 10-e9-1997 01�16PM 714 m —1G06231B997 P.81 ---- <br /> F <br /> • r <br /> 'gg <br /> SAN JOAQUIN COUNTY <br /> i PUBLIC HFA.LWN SERVICES <br /> WvT,R0jQ4M'4TAL HEALTH DIVISION . <br /> i pUW IC RECORDS RELE1#S8 APPLICATION <br /> Y• PHONE NO 3 2" <br /> APP7sICANT ��- <br /> ADDS u3 <br /> AGErcY NAMB � d� 'Sn►11�1�i►n!�.e HONE NO <br /> ADDRESS <br /> FULIi AIII�SES� BIISIr1R:�G DEANS/_ 1 PROtRAM OR <br /> FACLLITY ��a1 TYPE OF �TYrfi Saa <br /> . _ bzl <br /> C <br /> � f m � o�..tis <br /> u ..� <br /> t <br /> Q � 11 <br /> o21/ LO�..t. 1 • <br /> V-+' <br /> v 1 I <br /> x**�******ft�,t*t *++�k�*t***if��ff#}* ++t+ +*t**.�,r,r*,►+a:�ltt:r+iff <br /> THIS fOT10E IS SUBJECT TO THE REQUIREMENTS <br /> I (EI-i�a'1 uCFEY194-007, OROINANCS CODS OF <br /> SAN <br /> IN THE UBLIC HEALTH <br /> sERVICESIENVIRONMENTAL HEALTHDIVISION <br /> SAN JOAQUIN COUNTY. EHO FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVEItNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAxIMUM OF 3,im PREMISE ADDRESSES PER REQUEST <br /> 2, PUBLIC FILESMPCORDS REVIE'N IS BY.6P4'=74 ENT ONLY. APPOINTMENTS ARE PROCESS- <br /> ED 81 CALLING (2091468-33420. OFFICE HOURS FOR APPOINTMENTS AAE SCHEDULED MONDAY <br /> THRUI FRIDAY DiCLUDING HOLIDAYS, 8:00 AM lU 12:00 NOON AND 1:00 TO 4:30 PM. '.. <br /> 3. A PVEUC FILES/RECORDS RELEASE APPLICATION (FRRA) 13 REQUIRED. <br /> 4. P18LIC FILES/R£CORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED 13Y THE EHD STAFF AT THE EXPONSE OF THE APPLICANT. T141S ADDITIONAL <br /> SERv>CE WILL B6 BR1.ED TO THE APPLICANT FOR PAYMENT. (SEE EHD POLICY 94-007) <br /> 5. 091GINAL F"JISLIC FILE&RECORDS SHALL NOT 13E REMOVED FROM THE EHD PREMISES_ <br /> SIGN TURF OF APPLICANT DATG f �1 <br /> SIGN TURF QF RELEASING OFFICIAL DATE <br /> Edi 00 14 IREnV 9/9_6) _ �_ I ` f- <br /> At <br /> `v \J <br /> /,►' <br /> TDTT-L P.01 <br />