HomeMy WebLinkAboutPRR26087 Bonior - 500 Mountain View Fire reportMAR 0 2 2A26
R€coR0s pequest
(Return to the City Fire Department)
This form will enable us to accurately and efficiently fill your request. With the exception of certain
records, report copies are 40C per page.
DATE OF REQUEST:7 Lb
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Fire Department
21 60 Santa Ba6ara Avenue. San Luis 0bispo, CA 9340i -5240
805.78r.7380
slocity.orq
NAME:(4
ADDRESS:
PHONE: FAX:
E.MAIL:
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Please provide specific information (date, time, event, location, incident number):
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YOUR REQUEST WILL BE PROCESSED lN COMPLIANCE WITH THE PUBLIC RECORDS ACT. cotifomia Govemment code
Seaion 5253 (c). Each agency, upon a request for a copy of records, sholl, within 70 days from receipt of the rcquest, determine whether
the request, in whole or in part, seeks copies of disclosable public records in the possession of the ogency and shall promptly notfu the
person making the request of the determinotion and the teosons therefore.
ln unusual circumstances, the time limit prescribed in this section may be
extended by wriften notice by the head oJ the agency or his or her designee to
the percon making the request, setting forth the redsons for the extension
and the dote on which o determinotion is expeded to be dispdtched. No
notice shall specifi a dote thot would result in on extension for more thon 74
doys, Pursudnt California Government Code Sedion 6254 (c) Personnel,
medicol, or similar files, the disclosure of which would constitute on
unworranted invasion of personal privacy [ore exempt from disclosure].
lf you need assistance with this request or wish to review
the records on site, please call the City Fire Department
in advance at 781-7380 to schedule an appointment.
REQUEST: tr Picked Up
El Mailed E Emailed
E Destroyed (not picked up within 30 days)
Return form to Administrotive Assistant
FOR OFFICIAL USE ONLY
RECEIVED BY:
ASSIGNED TO:
COMPLETED BY:
Thank you.
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