Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERYiCESN y <br /> ��. <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE REQUEST FORM <br /> INDIVIDUAL NAME_ ry\C�C .S J . Va k c-�1 PHONE NO <br /> ADDRESS �`ZQ L( <br /> AGENCY NAME [o HONENO S Ct rr.Q <br /> ADDRESS <br /> x 0A <br /> FILE ADDRESS �J1 LEAD ENFORCEMENT DATE 0F <br /> ,� AGENCY RE LEST <br /> M <br /> �r <br /> L _ L 3X7 K.r�. C2 <br /> _Z e .5 7 .t_e.7 f _ . <br /> r <br /> Ll �y rr 40 <br /> s 93 k <br /> W 24.Go ✓he �C <br /> �j <br /> San Joaquin County Public Health Services Environmental Health Division Hies are considered public records <br /> except for certain documents identified in the Government Code and the State Water Cade, <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. k <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 #41-001. <br /> SIGNATURE OFREQUESTINGPARTY DATE B Z-95 <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 1.4 (REQ! 3/91) <br /> b <br /> PI)e <br />