Laserfiche WebLink
PROrl G,aa--Phase Enyirormerit31 e;;c. FAX NO. 209559.255 �y <br /> .5 47 q-- ams <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH 'SERVICES <br /> ENVIRONMENTAI, HEAT,Tli DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICAI5IT ZC&I r t-y Ifo 14 PHONE No <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FULL ADDRESS BUSINESS NAME/ PROD-RAM flR <br /> >*ACILITY TYPE OF FILE <br /> Azc. .. <br /> C.0s <br /> t-k* F�ttirtttt*ftt*fttft#fti #�*�rY7k'k,r,irt�lk w]r'ktlkttir,t,tirtttirtdrti4w,rrr�w•i, <br /> THIS NOTICE IS SVEJECT TO THE REQUIREMENTS IDENTIF)ED IN THE PUBLIC HEALTH <br /> SERVICESIE:NVIRONMENTAL HEALTH DIVISION (EHD) POLICY #94-007, ORDINANCE CODE OF <br /> SAN JOAQUIN COUNTY, EHD FEEEr AND SERVICE CHARGE RESOLUTIONS, STATE WATER 00DE. <br /> GOVERNMENT CODE AND THE EVIDENCE; CODE. <br /> 1. A MAXIMUM OF TEN M 0} PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILES/RECOADS REVIEW IS.BY AFFQINTMENT ONLY. APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING (2091468-3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONt)AY <br /> THRU FRIDAY EXCLUDING HOLIDAYS, $:00 AM TO 12:0 NOON AND 1:40 TO 4:30 PM. <br /> 3. A PUBLIC FILESIRECORD� RELEASE; APPLICATION (Pk�AAI IS R5QUIRED. <br /> A. PUBLIC FILESIRECOROS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF: THI: APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. {SEE EHD POLICY 94- 007) <br /> 5_ ORIGINAL PUBLIC FILESIRECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> .•.. T r• •r T T*T••*.\.•;•T• • •. # ? f +t i•r• • +t 1• Z...1*• •.a+f r <br /> SIGNATURE OF APPLICANT DATE �I <br /> SIGNATURE OF RELEASING OFFICIAL <br /> EH 00 14 (FIEV 91961 -- L—DATE <br />