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SAN JOAQMN Co"M <br /> ' PUBLIC RMTH 8Ef v1t*5 `'` <br /> MVIRONINRNfiAL 11pA,L't1 1),VISt0 <br /> PUBLIC RIECO"g "ER-AM "QtMST PUItM <br /> INDIVIDUAL NA&W s-�VC: <br /> ADbItE55 4(0-0 t-v a a p C I'I jONE No <br /> AGENCY NAMEta� yK� <br /> ADDRESS 2 W�n t nes pHoNL No o <br /> FILE ADDRESS LIAb 1rNORCEM�Nt' DATE OE <br /> REQUEST <br /> � <br /> u mac,- tt U, t1t x. 13 l X75 L <br /> Wr, f Tl�Ir�e lctvi S t ncAL <br /> 06s io Lofvy 4L L4 No U& <br /> Lt BY 05 1 Sct hc.t— liuC K-C <br /> ►�n�t 1teY1 <br /> �� u.l.Mt(n4�Q zc�y W• C(<tulw <br /> e-A,( <br /> 4i roc 178 el W, GGarf <br /> t 5 C -T <br /> k A, Lo <br /> San Joaquftt County public Health Setvlces Pnvirontnettlal Health blvislon flies ate considered public records <br /> except rot certain documents Identified td the tiovettiment Code and the State Watet pkw <br /> Requests tot public tewds of Ale tWewf are subject td ehatges established In San Joaquin county Rules and <br /> Regulation Pnvltnnntental Health Pertngt Pees and SefAce3 Chatges. <br /> charges Cot records or documents tequested by subpoena duces tecum are subject to changes established In <br /> the Evidence Codi. <br /> Photo coples or public documents are subject to Public Recotds Policy #91-not. <br /> SIGNATURE of REQUES'T'ING PARTY <br /> SIGNATURE OF RELEAStN(I opFICIAL DATE <br /> EI-I 00 14 (REV 3/91) <br /> i <br /> w <br />