Laserfiche WebLink
APPLICANT <br />ADDRESS <br />AGENCY NAME <br />ADDRESS <br />SAN JOAQUIN COUNTY <br />PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />PUBLIC RECORDS RELEASE APPLICATION <br />I <br />Alzak, 4411/61,-e-- PHONE NO 4/6/45_7 - Ao Zq <br />PHONE NO <br />FILE ADDRESS <br />,444e 4: *36, te, 1..17fair <br />v"SIGNATURE OF APPLICANT J DATE 7t) — <br />SIGNATURE OF RELEASING OF DATE /6 <br />EH 00 14 (REV 12/92) <br />LEADQENCY DATh <br />e42.- ief.a.eiViit/tkib - 8-93 <br />THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br />SERVICEVENVIRONMENTAL HEALTH DIVISION (EHD) POLICY #92-007, ORDINANCE CODE OF SAN <br />JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br />GOVERNMENT CODE AND THE EVIDENCE CODE. <br />I. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br />PUBLIC FILES/RECORDS REVIEW ARE BY APPOINTMENT ONLY. APPOINTMENTS ARE <br />ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br />MONDAY THEW FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M. TO 12:00 NOON AND 1:00 P.M. TO 4:30 <br />P.M. <br />A PUBLIC RECORDS RELEASE APPLICATION AND A NON-REFUNDABLE DEPOSIT OF $18.00 <br />IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLiCAIN4T 1F THE FILES/RECORDS ARE <br />NOT AVAILABLE WITH3N THE CUSTODY OF THE EHD. <br />THt ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br />CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br />DOCUMENT(S). <br />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 ADDMONAL <br />SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br />ORIGINAL PUBLIC 1711PS/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br />TUTAL F.nir-,