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k <br /> J <br /> Y r <br /> PUBLIC HEALTH SERVICES <br /> SAN JOAQUIN COUNTY � z1 <br /> JOG[KHANNA KD.,H.P.H. T <br /> Health Officer . P <br /> P.O. Box 2009 (1601 East Hazelton Avenue) • Stockton,California 95201 <br /> (209) 468-3400 <br /> a <br /> PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD + <br /> a <br /> * Substances not considered to be a cancer risk at this time may <br /> be defined as a carcinogen in the future. Cancer and cancer- <br /> related diseases may take 5-30 years to develop in humans. <br /> * Individuals who are exposed (suspected or confirmed) at an <br /> emergency response incident should document the specifics of <br /> the exposure within 24 hours and mail or call in this j <br /> information to the Environmental. Health Division at the <br /> letterhead address above. <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> A Division of San Joaquin Counry Health Care Services <br />