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r <br /> SAN JOAQUIN COUNTY , yS-1S1 <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL. HEALTH DIVISION ),4" <br /> PUBLIC RECORDS RELEASE REQUEST FORM <br /> LNDIVMUALNAME'-T-';orras -T `/alC� PHONE NO �a- 3S91 <br /> ADDRESS 1 R �e Ll S , CR - <br /> AGENCY NAME Co PHONE NO Sct.rv`2 <br /> ADDRESS <br /> � P <br /> FILE ADDRESS p(O S ` LEAD ENFORCEMENT DATE OF <br /> AGENCY REQUEST <br /> ZZZ �1 . �l ��cac�o S� C .� R�JC�C6',si1e eocle 91t{b �-Z-9� <br /> r2-I9 V Fremo-nt Si . LUP: si co(z-• 2-oS5 <br /> LIPZ-fit , t cv. r-off S1-. CUPy)(1,&)r SrL. 0LAO-. 92�; <br /> LS N �` S i le _ 116345 <br /> 4 Zl'{ �J' y(A Vl lY'P.h S �-O!7 r Srl to �.O/9.P Zs -J— rr <br /> 56�u \AJ . \,J e V�e.r st. RwI,c 1-s', S" C 930& <br /> F,F,h W . CNMo . 91 <br /> i <br /> San Joaquin County Public Health Services Environmental Health Division files are considered public records <br /> except for certain documents identified in the Government Code and the State Water Code. <br /> Requests for public records or file reviews are subject to charges established in San Joaquin County Rules and <br /> Regulation Environmental Health Permit Fees and Services Charges. <br /> Charges for records or documents requested by subpoena duces tecum are subject to changes established in <br /> the Evidence Code_ <br /> Photo copies of public documents are subject to Public Records Policy #91-001. <br /> SIGNATURE OFREQUESTINGPARTY DATE Z 9S <br /> SIGNATURE OF RELEASING FARING OFFICIAL DATE <br /> EH 00 14 (REV 3/91) <br />