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• SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE REQUEST FORM <br /> INDIVIDUAL NAMES PHONE NW-4"y 5� - ;Z3� <br /> ADDRESS // 9 s�5 s fl <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> t0 <br /> FILE ADDRESS LEAD ENFORCEMENT DATE OF <br /> AGENCY REQUEST <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`-00)1. <br /> SIGNATURE OF REQUESTING PAR'Tl�O� -&rrZf,,?/ DATE 7 8� <br /> SIGNATURE OF RELEASING OFFICIALDATE <br /> EH 00 14 (REV 3/91) <br />