Laserfiche WebLink
; 3 <br /> F <br /> Ell UU 14 (RE <br /> V 5194) SAN ,JUAQUIN COUNTY <br /> I'UIIL,IC 11EAL'I71 8ERVICES <br /> ENVIRONMENTAL IIEALTII DIVISION ° (,( 3 -4 <br /> PUBLIC RECORDS RELEASE APPLICA'T'ION <br /> APPLICANT S, A/ ` PHONE ,NO <br /> ADDRESS7` <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FILE ADDRESS LEAD AGENCY DAZE <br /> 3 S7-. <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH F <br /> SERVICES/ENVIRONMENTALHEALTI-I DIVISION (END) POLICY#94-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, END FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. ` <br /> 1. A MAXIMUM OF TEN (IO) PREMISS AbOR855G4 PER REQl1E5"f. <br /> 2, PUBLIC FILES/RECORDS REVIEW Is BY APPOINTMENT ONLY. APPOINTMENT'S ARE ARRANGED BY <br /> CALLING (209)468-0340. OrrICE IIDURS FOR APPOINTMENTS ARE SCHEDULED MONDAY TIIRU FRIDAY <br /> EXCLUDING HOLIDAYS, 5:00 AM TO 12:00 NOON AND 1:00 PM To 4:30 PM. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION (PRRA) IS REQUIRED. <br /> 4• PUBLIC FILES/RECORDS NOT RETURNED IN TME SAME CONDff10N AS RECEIVED-!WILL BE CORRECTED <br /> BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL SERVICE WILL BE BILLED TO THE <br /> APPLICANT FOR PAYMENT. (SEE END POLICY 94-007) <br /> 5. ORIGINAL PUBLIC FILES/RECOR SHALL.N BE MOVE FROM THE END PREMISES. J <br /> SIGNATURE OF APPLICANT DATE <br /> SIGNATUREOI'RELEASING OFFICIAL i DATE ; <br /> No PHS/EHD RECORDS/FILES ARE IDENTIFIED: <br /> PHS/EHD RECORDS/FILES EXIST ON TILE ADOPESS(ES) NOTED. YOU WILL DC NOTIr .0 WHEN <br /> RECORDS/FitE5 ARE AVA1LARI.E FOR REVIP;W: a; <br /> 17�rnRmnmvp7l Fr. -Nmirmwww rum . <br /> 1 <br /> 3 <br /> L �3 d <br />