HomeMy WebLinkAboutPRR26192 Park - Traffic accidents at Costco parking lot 1540 Froom Ranch Way, 9-17-2005 to presentUpdated 05/2023
City of San Luis Obispo
Request for Public Records
The California Public Records Act (Government Code 7921. et set.) was enacted to ensure public
records are available for inspection by members of the public. Completion of this form will assist staff
in identifying related records to accurately complete your request.
Requested records will be distributed to the email address that is listed on this form, unless directed
otherwise by City staff. Requests for printed records will require payment subject to the City’s
Comprehensive Fee Schedule. Payment must be rendered prior to production of printed materials.
Name: _______________________________________________ Date: ______________________
Last First
Address: ________________________________________________________________________
Street & Unit # City State Zip
Email: _____________________________________________ Phone: _______________________
Release Forms
Requests for certain public records legally require release forms to be submitted for records to be
distributed to the requestor. To help expedite your request, please read below and ensure additional
information is submitted along with this public records request form.
•Personal health information
Records containing personal health information require a HIP AA Release Form. Examples
include fire incident reports, worker’s compensation claims, etc.
o HIPAA Release Form
•Printed residential and/or commercial building plans
The Public Records Act does not allow the release of printed copies of this material without the
permission of the architect/engineer copyright owner. The public records requestor is
responsible for obtaining said authorization by completing all three release forms listed
below. You may call the Community Development Department at (805) 781 - 7170 to find out
the name of the copyright owner. In-person viewing of plans do not require release forms.
o Copies of Plans Affidavit
o Plan Request Architect/Engineer Authorization
o Plan Request Owner Authorization
Continued
Park Daniel 4/9/2026
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YOUR REQUEST WILL BE PROCESSED IN COMPLIANCE WITH THE PUBLIC RECORDS ACT (PRA). California
Government Code Section 7921. An Agency shall notify the requestor within 10 days from receipt of request with a
Determination which states if the Agency is in possession, in whole or in part, of the requested documents, and possible lega l
exemptions which prohibit the release of non-disclosable documents, as outlined per the PRA. In some instances, an Agency
may require an extension of up to 14 days to provide a Determination, as authorized by the PRA. A notice will be provided to the
requestor setting forth the reasons for the extension and the date on which a Determination is expected to be supplied.
Record Information: List the records you are requesting. Specify relevant information such as:
subject, title, incident number, location/address, person(s) involved, project name, etc.
Date and Time: Specify the incident date or date and time range of the requested records
Questions may be directed to the City Clerk’s Office at (805) 781-7100.
Submit Completed Forms To:
cityclerk@slocity.org
OR
City Clerk’s Office
990 Palm Street
San Luis Obispo, CA 93401
Dead Records Custodian:
Pursuant to the California Public Records Act (CPRA), I request copies of all records maintained by
the San Luis Obispo City Police Deparmtent relating to traffic accidents that occurred in the Costco
parking lot located at 1540 Froom Ranch Way, San Luis Obispo, CA 93405 from September 17,
2005 to the present.
This request includes:
1. All police reports, incident reports, traffic collision reports, and supplemental reports relating to:
a. Vehicle versus pedestrian incidents;
b. Vehicle versus vehicle incidents;
c. Vehicle versus bicycle incidents.
2. All witness statements, recorded interviews, and officer notes relating to such incidents;
3. All diagrams, scene sketches, or reconstructions of such incidents.
Thank you,
September 16, 2005 to present