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SAN JOAQUIN COUNTY UA)-r� 3.,Z <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION , q <br /> PUBLIC RECORDS RELEASE REQUEST FORM <br /> INDIVIDUAL NAME e X e Acct, PHONE N 91(:o --�!,S t -t90'-t,- <br /> ADDKESS c�. ' ;�c � C{ <br /> S, !Q0, �S l _ <br /> AGENCY NAME ,;, PHONE NOcifin-2_9._ ZlZZ, <br /> ADDRESS - <br /> FILE ADDRESS LEAD ENFORCEMENT D&M OF <br /> AGENCY BE-QUEST <br /> z <br /> R <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 #9I-001. <br /> SIGNATURE OF REQUESTING PARTY DATE <br /> SIGNATURE-OFRELEASINGOFFICIAL DATE <br /> EH 00 14 (REV 3/9I) <br />