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92 r9O N 1 5 : 45 P - 0 2 <br /> &UBLIC I IPAIlI'1� SMVICI'' <br /> F,NVVJBL CRECORO REL .A rF�E R REnrvISIU <br /> QVR5'T FORM <br /> INDIVIDUAL NAME W• E• 5. ?'EHONENO_ Lg:�� ��s— 3183 <br /> ADDRESS a S <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FILE ADDRESS" j <br /> (3e to e* a ct�ld f sse� i �vtt }en : AM BBQ= <br /> ASAP <br /> +k i <br /> O <br /> M� <br /> reN sew <br /> San Josquln County Put Ile Health Services Envgronmenist Health Division ales are considered public records <br /> except for certain dmi ichu Identified In the 0ovetamtnt Code Ind the State Water code. <br /> Requests fat public rw rds or hie tevieat Ire Subject to charges established In Sen Joaquin county Rules and <br /> Regulation Eny1ronitter til Health Permit fees and Secvicei charges, <br /> charges for records or ocuments, tequested by subpoena ducea tecum Ire subject to changes established to <br /> the Evidence Code. <br /> Photo copies of public ocumenu are subject to public Records Policy #91-001., <br /> SIONATUREOF F EQUESTI.NGPART A , .. DATL 8 31 9z <br /> SIGNATURE OF HELEMING OFFICIAL VV DATE <br /> EH Oo 14 (REV 1) <br /> i <br /> I 'd ib 5t Z6ri�rt30 <br />