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A U L — 3 1 — 9 2 M O N 1 09 : 4 5 P 03 <br /> PUBLIC 13tALT9' mviGES „ <br /> lt+Ptv1RONMifN UL R ALT# IvmstON <br /> UBLiC REC008 KELP ME REQUEST FORM <br /> INDiVIDUALN PHONE Noi (_ e, <br /> ADDRE59 s <br /> AOENCY NAME PHONE NO <br /> ADDRESS <br /> FILE ADDRESS LEAD FOR9fibl N'1' � <br /> Pe (ow era l�dd is ses In S� el:Ion , r/� <br /> 1' r ' ( •.�+ (- ty4.IxG" / ne Si-n11 ' duwi �46it�. . __ dr °1z - ASAP <br /> +F ( Sh <br /> 2j IL F60ffi HIAfCl ( Q41 He.ALLL"* 8 % ) <br /> +k <br /> San Joaquin County Put Ile Health Sarviced En*unmental Health DIvttlaq files Are considered public records <br /> except for certain docu ent$ Idendnhd In the Oovetwetll Code and the Stale Water Code, <br /> Requests for public reedr& or Ale reviews are subaeet to charges establkh'ed In Sen Joaquitt County Rules and <br /> Regulation Euvironmel tal Health Permit T=eed And Services Charges, <br /> Charges for recordi or lacumenu tequested by subpoena doca lecom Ate subject to changed established In <br /> the Evidence Codo. <br /> Photo copies of public locumetits Are subject to Public Reoords Policy At9t•O L4 <br /> I <br />,i <br /> SIGNATURE OF E &piJE3TtNC7PARTY DATE s s az � <br /> SIGNATURE OF I ELEASING OFFICIAL DATE <br /> EH 00 24 (REV J ) . <br /> t ' d rti � sl zs � re � eo ' WONJ <br />