Laserfiche WebLink
SAN JOAOUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> LS PHONE NO <br /> APPI-,LC'AN'I' 1' 1 L ! c/{f1t L L�c-L <br /> /1[)()R.FSSU'C:C�[ t f TI�t PHONE NOs73- <br /> AGENCY NAME rrC�f3L <br /> ADDRESS ' IC2 S c <br /> BUSINESS NAME1 PROGRAM OR <br /> FULL ADDRESS FACILITY TYPE OF FILE <br /> L-(_... <br /> UBLIC <br /> HEALTH <br /> THIS NOTICE OS SUBJECT TO THE REQUIREMENTS HD) POLICY 1194 007E ORD MANCE CODE OF <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION t <br /> SAN JOAQUIN COUNTY, EHD FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE COD <br /> 1 . A MAXIMUM OF TEN X101 PREMISE ADDRESSES PER REQUEST <br /> E PROCESS- <br /> 2. PUBLIC FILES/RECORDS REVIEW IS BY APPAPP p pTPOINTMENTSOARE SCHEDUINTMENTS LED MONDAY <br /> ED BY CALLING (2091468-3420. OFFICE HOURS <br /> YS, 5:00 AM TO IZ:00 NOON AND 1:00 TO 4:30 PM <br /> THRU FRIDAY.EXCLUDING HOLIDA . <br /> 3. A PUBLIC FILES/RECORDS RELEASE APPLICATION (PRRA) IS REQUIRED. <br /> WILL <br /> A. PUBLIC FILES/RECORDS NOT RETURNED INNSE OF TTHE HE CAPPDICANTITION A THIS ADD(DT ONALBE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE <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 /> SIGNATURE OF APPLICANT t-kc114 lf'� DATE ���— <br /> SIGNATURE OF RELEASING OFFICIAL <br /> DATE <br /> EH 00 14 (REV 9/96) <br />