HomeMy WebLinkAboutPRR21035 Walker - 3490 Empresa DrCOUNTY OF SAN LUIS OBISPO
ENVIRONMENTAL HEALTH SERVICES DIVISION
ENVIRONMENTAL HEALTH SERVICES DIVISION
PUBLIC RECORD ACT REQUEST FORM
This form is not required to submit a request; however, this assists the Department identify records or data you
are requesting and track your request.
Per the California Public Records Act (CPRA), I hereby request reproduction of the following records maintained by
this department and understand that there may be fees incurred in the reproduction of the records.
Please complete the form below. If this department does not maintain your requested records this form will be
forwarded to the correct department, to the extent known.
YOUR NAME
ORGANIZATION (IF APPLICABLE) —
MAILING ADDRESS (STREET AND UNIT NUMBER)
PHONE NUMBER
MAILING ADDRESS LINE 2
FAX NUMBER
CITY, STATE & ZIP CODE / EMAIL ADDRESS (� `
RECORDS REQUESTED (where applicable, include an APN, property address, andlor other identifying information)
YOUR SIG ATURE (TYPE NAME IF COMPLETING ONLINE)
TODAY s DATE
CPRA requests may be submitted:
• Via Email: Email completed form to: ehs@co.slo.ca.us
• Via Fax: Fax completed form to (805) 781.4211
• Via US Mail: Mail completed form to: 2156 Sierra Way, San Luis Obispo, CA, 93401
• In Person: Submit completed form to front counter staff.
A response will be sent to you within ten* business days of receipt of your request by this office. All payments are due at the
time record reproduction is provided.
Questions? Please contact us: (805) 781-SS44
*In some instances, the Department may require up to an additional 14 days to respond to a request as authorized by the Act.
PLEASE NOTE: The California Public Records Act (Goi/t Code Section 6250 et seq.) applies to writings in County files "containing information relating to the conduct of the
publics business prepared, owned, used, or retained by any state or local agenry regardless of physical form or characteristics." The County will provide those documents to
you, unless they are exempt from disclosure under the Public Records Act or other legal reason prevents the documents from being disclosed to the public,