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SAN JOAQUIN COUNTY Sys-,S1 <br /> PUBLIC HEALTH SERVICES" ` <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE REQUEST FORM <br /> IND IVIDUAL NAME' c) -T `/a t L1n PHONE NO -:TS- 3S91 <br /> ADDRESS -LRd, Sx-42 L((9'3 <br /> AGENCY NAME 'v Co PHONE No S YY, <br /> -Q- <br /> FILE <br /> CL Y , <br /> FILE ADDRESS Q<IN S LEAD ENFORCEMENT DATE OF <br /> AGENCY REQUEST <br /> S+- <br /> R W Fre no o,n t S �► 3s z� ���° <br /> Llv1 o 11'1 St. <br /> l_�l R\il�l��_� S Il(�ChY1[O 9Z�y <br /> 0, 1 �r� St' <br /> t. ` <br /> �Z�-{ 1J'' y rl Y1 G Y P fel S " s l k-- CMLO ^2-5j-4- <br /> y AJ , eIraer. S R �['I�`, i (`,fl-�►n 93 0 ,s. o <br /> 6 h W. W Ir�r f-. ruxiQ 1(4�e ; C; CcY�• '. ' 1 4 0 <br /> I <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 #91-001. <br /> SIGNATURE OF REQUESTING PARTY DATE Z-95 <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 3/91) <br /> �ee <br />