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SAN JOAQUIN COUNTY <br /> PUBLIC gEXITH SPERVICRS <br /> ENVIRONMENTAL tM LTH DIVISION <br /> PUBLIC RECORDS RELRASE REQUEST FORM <br /> INDIVIDUAL NAME PH0NE NO 9 <br /> ADDRESS LWO Ly D e'D Lq toyi , OF• `13 L q Z <br /> AGENCY NAME PHONE NO 0-7.( <br /> ADDRESS -1x21 VS no '4::-vjwxv , t:N • 3z-ll <br /> FILE ADDRESS LE D ENFORCEMENT DATE OF <br /> AGENCY REQUEST` <br /> kM4 C-t' �r�) <br /> (,I-LLo(OA 0t)4,r+'VY 1to1st /,10 Lm- ce w-S <br /> U (e ccy(0 1 L(33—n Ili ltwu I¢ 16TS C <br /> L«rtola,,,, 14L(<< Tll()" Ltvl'S Loc wL <br /> 06 DE-A -F�1JDQ M40-� 16405 Fresno . _ 03 1 u(r r <br /> alt By o S I�u I �,v. C.F,wr-hc.r Ito C.�-C <br /> l M 4-t loY l W, (-Itcw tK.r <br /> V►-S Neu,I.Mtla►i A 7(SL) (,). L(LwFw Lo 4-C <br /> VI-16 1-7 Set W, Ye 31 c,'7 S L <br /> PU-\(,t!4 v'n (R Dq w . a-,cy'k*- Lo ceLL <br /> LCA, 120 7.0{I Navo, j?.3 D15 <br /> San Joaquin County Public 14esith Setvices ErMtonntental Health bivlsion Isles Are considered public records <br /> except rot certain documents Identifled ie the clovernment Code And the State Water Code. <br /> Requests rot public records or(Ile them ere subject to charges established In San Joaquitt County flutes and <br /> Regulation Environmental Health Permit Pees and Services charges. <br /> Charges tot records or documents requested by subpoena duces tecum ire subject to changes established In <br /> the Evidence Code. <br /> Photo copies of public documents ate subject to Public Records Policy #91-oot. <br /> SIGNATURE OF REQUESTING PARTY DATE <br /> ALI, <br /> SIGNATURE OF RELEASM0 OFFICIAL DATE <br /> EH 00 14 (REV 3/91) <br /> qo � <br />