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SAN JOAQt1IN COUNTY <br /> MIMIC 13EALTH SMMcES <br /> ENVIRONMEN'T'AL tMkLTH DIVISION <br /> PUBLIC "CORDS RELEASE REQUEs-' )+ORM <br /> INDIVIDUAL NAME_ StiE7�t,EZ- 4K PHONE NO <br /> ADDRESS 4(,/70 <- Liv 0a p E-A tDh . 'I L K Z <br /> AaENcY NAME PHONE NO -Z�_7 p�� <br /> ADDRESS '2,�Z'1 rS n v <br /> FILE ADDRESS LEAD ENFORCEMENT DATE 0—F <br /> Aa O REOUEST <br /> Tl .•r•1,\'� <br /> t.k��o(^^ 1tt'h�Y I effl 1t+,y Lf' 4- <br /> U P t!�I QTS C. <br /> 1+4 01 qu, I �l�l�l T101. lc.w("S l,ocwL <br /> -�� DID nuC IHoS FyfSno - _ QF31 UGT <br /> ' Lt BvoSI�u CL'�ta!•hc.r lioL�C <br /> t W, Itcw — <br /> �a►�sNetcl.lnllrt►1 !� Zt;J w. l,eca.( <br /> VJ J b 17$ W, C�t Ar i cv _ Ne i31 1:17 S L <br /> n (R Dq w Ld.cti Lo ceL <br /> Lt ca �(xyle _ 7,D4 1 Nav <br /> San Joaquin County public ReAfth Services Environments) Heath dlvlslon tile3 are considered public records <br /> except for certain documents IdentlAed In the (Jovernntent Code end the State Water Code. <br /> Requests for public records or Ale reviews ere subject to charges established in San Joaqultl County Rules and <br /> Regulation Environmental 14611th Permit Pees end Services Charges. <br /> Charges for tecords or documents requested by subpoena duces tecum are subject to changes established In <br /> the Evidence Code. <br /> Photo copies of public documents ate subject to Public Records Policy #91-001. <br /> SIGNATURE OF REQUESTING PARTY <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> E14 00 14 (REV 3/91) <br /> god <br />