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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE REQUEST FORM <br /> INDIVIDUAL NAME �� PHONE NO :2-C9 <br /> ADDRESS <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FILE ADDRESS LEAD ENFORCEMENT DATEOF <br /> AGENCY RE0UEST <br /> of -2!6Tracy X,3/4)7'-':7C 67XI � <br /> /.'t 7Sa !✓• �3 y rori T7-.�c�, STC C /7- <br /> 3774o <br /> 7 - <br /> 3774o ST e- Lche <br /> _236-37-OST-c- Kc Trac - SS e-Eft <br /> zc( So To StE D 7r S 'G ec+ <br /> c3 / 7D kJ,6*titnK;HE rl- c0 5SGt f <br /> /Exon l /tcortTAid r Tac'. <br /> San Joaquin County Public Health Services Environmental Health Division flies 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 Records Policy #E91-001. <br /> SIGNATURE OF REQUESTING PARTY DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 3/91) <br /> g$� <br />