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SAN JOAQUIN COUNTY4 Y <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE REQUEST FORM <br /> , <br /> INDIVIDUAL NAMEPHONE NO � -7 <br /> ADDRESS �J J ; 7 ` C 1ter - r - <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FILE ADDRESS LEAD ENFORCEMENT DATE OF <br /> AGENCY REQUEST <br /> Am E1213-2,Kt) <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 Re�srolfcy,#"I. <br /> i <br /> SIGNATURE OF REQUESTING PARTY' DATE <br /> SIGNATURE OF RELEASING OFFICIAL " <br /> DATE <br /> FII 00 14 (REV 3/91) <br /> K <br /> , <br /> i <br />