Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> PUBLIC WEALTH SERVICES nn <br /> rN'YIRON1Y11:N1'A1, UFAI,"IRI 1)"SIOdv Icl le KPVI <br /> PUBLIC RECORDS RELEASE REQUEST FORM 9�7 - C 3 G <br /> IND(VIDUAI.NAIvM-- PHONE NOQ0 [ 07/ <br /> ADDRESS <br /> AGENCY NAME 7' F . PHONE NO <br /> ADDRESS <br /> a.r'w— %rl 17tarrkra <br /> LEAD D FNFORC>;'MENT_ <br /> F[l,Er_AD2FS <br /> AGENCY <br /> (Ln S., 012 rl St. - nr.,::lJMG71�' KP�'llu.� <br /> `ln3 S l,1a('01n (SUP, -f-/-L4m er-f-)7 <br /> QQSIS. — !^1 cry Ynn n 4?tA <br /> 1D_ . - Cr <br /> a n n n�nr PCLC <br /> 91.12f+42t- 1511,11AY, bo c , <br /> San Joaquin County Public Health Services Enviroamenall Health Mwision at=are considered public records <br /> except for certain documents identified In the Government Cade and the State Water Code. <br /> Requests for public records or rile reviews ate subject to charges established In San Joaqubn County Rule.and <br /> Regulation Environmental Health Permit I= and Services Charges. <br /> Cltargcs 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 491-Ml. <br /> SIGNATTJRE OF RLQ(JESTING?ARTY -lis A� DATE a2 r5 lA <br /> SIGNATURE OF RELEASING OFFTCTAL DATE <br /> EH 00 14 (REV 3/91) <br />