Laserfiche WebLink
'...-,low <br />SAN JOAQUIN COUNTY <br />PUBLIC HEA'uTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />PUBLIC RECORDS'' RELEASE APPLICATION <br />APPLICANT �avt� �(-o(Gct�pp((4I2' A� PRONE NO ` /5 16 <br />ADDRESS 31 G`� a Ick '� �%�� c� 2� Oho C. <br />AGENCY NAME PHONE NO <br />ADDRESS <br />FULL ADDRESS BUSINESS NAME/ PROGRAM OR <br />FACILITY TYPE OF FILE <br />tot w ��, L,h Ga , T3 a•co S1L.1zo # S (3 by t <br />v o Lo <br />L S Ire l l srw i ce <br />tv-�s <br />r <br />to/Zt <br />THIS N TI E ISSUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br />SERVICES/ENVIRONMENTAL UNCOUNTY,HD FEE ANDIVISN (EHD) S RIVOPOLICY <br />ICE CHARGER SOLUTIONS,, STATE WATEER CODE, <br />SANANJOJOAQ <br />GOVERNMENT CODE AND THE EVIDENCE CODE. <br />1. A MAXIMUM OF TEN J101 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, 8:00 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 />- --- — T - <br />5. ORIGINAL PUBLIC FILES/RE RDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br />...;.#��+.�.....�..... .+ .�.#*......***** t. *.................�.....t <br />SIGNATURE OF APPLICAN DATE <br />SIGNATURE OF RELEASING OFFICIAL DATE <br />EH'00 14 (REV 9/96) <br />