Laserfiche WebLink
SAN JOAQUIN COUN'T'Y -� — -- �u� � 9S ISS <br /> PUBLIC H " <br /> HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE REQUEST FORM <br /> IND IVIDUAL NAME /✓Y.>Al?D PHONE NO 20 9 9S 7- 7�;-(f 0 <br /> ADDRESS yzD PX611�- 1 G .fitU� fiml f'r� W C.Q. ZD7 <br /> AGENCY NAME STDCK� 4�/ /7� 4'� o.st�PHONE NO <br /> ADDRESS <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 Cade and the State Water Coda <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 Coda <br /> Photo copies of public documents are subject to Public Records Polio #91-001. <br /> SIGNATURE OF REQUESTING PARTY:41 DATE S 2P 51 <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 3/91) <br />