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N,0. / 11PJ - 92 TUE 20 19 P _ 02 <br /> . f <br /> SAN JOAQUIN COUNTY <br /> PUBLIC l3iALTE S91WI 9s <br /> EMRONMRNI'A1t J;vMS10N <br /> PUBLIC RRJECORW t:,�ASE REQCXLST FORM <br /> INDIVIDUAL,NAME L75',e. --- PHONE NO /6 Glc,9.;7�_J <br /> ADDRESS 416coo <br /> AGENCY NAM / �5". ,i'kgie&4, e , CaezidPHONE NO <br /> ADDRESS <br /> FU A1212RO LEAD ENFORCE ENS PAI <br /> /1�119 2 <br /> leLl *J . <br /> San Joaquin County Public Healih Services Environmental Health Iil*100 files are considered public records <br /> except for certain documents Identified lit the Government Code 144"tile State Water Code. <br /> Requests for public records or fate reviews are subject to charges established In San Joaquin County Mules and <br /> Regulation Environmental Health Permit Bees and SeMces 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 091.001. <br /> 51GNA'1'tJRE OF REQUESTING PARTY DATE <br /> SIGNATURE OF RELISA5ING OFFICIAL DA'L'E <br /> EH 00 14 (REV 3/91) <br /> q �J <br /> l <br />