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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVMONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE REQUEST FORM <br /> LNDNIDUALNAME xar /yGLL/gl� PHONE NO 9« 792-2-1 ( o <br /> ADDRESS /OSO Me lada /_ 4 ,,zi .S>- /TO <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FILE ADDRESS LEAD ENFORCEMENT DATE OF <br /> AGENCY REQUEST <br /> 12 0 /Uq ✓�1 IJ r, V� -Sa,17J owe C,,, <br /> San Joaquin County Public Health Services Environmental Health Division files are considered public records <br /> except for certain documents identified in the Govermuent 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 OF REQ UESTING PARTY <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 3/91) <br />