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• SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES • hZtrtecJ4S= /tjG <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE REQUEST FORM u�u� <br /> p / <br /> INDIVIDUALNAME SAmue-1 PAL QHQ1 }O PHONE NO <br /> ADDRESS eZ// ! 112 oo /T <br /> AGENCY NAME f)/1Lrgrtfws PHONE NO <br /> ADDRESS <br /> FILE ADDRESS <br /> LEAD ENFORCEMENT DATE OF <br /> AGENCY REQUEST <br /> C� <br /> fps -/70 -2.3,, -2 24 , 7 �s <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 Feet 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 rds cy #9 1. <br /> 17 <br /> SIGNATURE OF REQUESTING PAR f DATE �% ?5 <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 3191) <br />