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City ofAnaheimo
Office of the City Clerk
200 S. Anaheim Blvd., Suite 217
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Anaheim, CA 92805
714) 765-5166 • fax (714) 765-4105
www.anaheim.net
Page 1 of 2
Request for Public Records
STEP 1: COMPLETE all fields on this form. This form is to facilitate and exp c records request.
Describe identifiable records in the possession of the City; your request must be sufficiently focused and specific to
allow the City to locate the requested record(s).
STEP 2: SUBMIT completed form by mail, fax, email or in person to Custodian of Records, Office of the City Clerk,
200 S. Anaheim Blvd., Suite217, Anaheim, CA 92805; tbass(a),anaheim.net fax: (714) 765-4105
STEP 3: WAIT to receive a response from the City. The City shall determine within 10-days from receipt of a public records
request, whether the request, in whole or in part, seeks copies of discloseable public records in possession of the City
GC 7927.535(a)]. Please note that if you are requesting the opportunity to inspect records, you will be requested to
make an appointment to return at a later date/time to view the documents.
Charges for the direct cost of duplication will apply. Documents will not be copied until payment has been received. If
payment is not received within 20 days after invoice is sent, you may be required to submit a new request. Please see
backside for additional information.
REQUESTER INFORMATION
Full Name: Arash Khorsandi
Company Name: Law Offices ofArash Khorsandi, PC
Mailing) Address:
Phone number:
Preferred method of contact in the event of questions:
EMAIL
Date: 4/1/24 5:12 PM
City/State/Zip Code: 90010
Email:
DESCRIPTION OF REQUESTED RECORD(S): (Describe the specific public record(s) e.g., date, type, time period covering documents requested etc)
Good afternoon,
May we have a report that has the light sequence for the traffic control lights at the corner of Orangewood Avenue and
Mountain View Avenue, in Anaheim please? We would like the light sequence for the East and West bound traffic. If possible we would like
the report from March 14, 2024 between the hours of approximately 1310 to 1410. If you can not provide a specific report regarding that
time frame a general report will do.
Please email me if you have any further questions. Your anticipated cooperation will be greatly appreciated.
Best Regards,
The information entered to request for public records is continued on succeeding page(s)
I understand that I will be contacted once documents have been identified. If production of records is requested, an estimated cost will be
provided to me and I agree that I will be required to submit payment for duplication costs (and mailing) prior to the production of the
requested documents.
I wish to inspect City records Will Pick -Up Records X Please Mail
Please note that information contained in any PRA request is a public record and may be subject to public inspection pursuant to the
California Public Records Act.
Electronically Signed/Submitted 4/1/24 5:12 PM
SIGNATURE OF REQUESTER
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City of Anaheim
01 1} Office of the City Clerk
200 S. Anaheim Blvd., Suite 217
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Anaheim, CA 92805
714) 765-5166 • fax (714) 765-4105
www.anaheim.net
DESCRIPTION OF REQUESTED RECORD(S)-Continuation
Toni Lara
Case Manager
LAW OFFICE OFARASH KHORSANDI, PC
T. (
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Request for Public Records