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A U L - 3 1 — 92 r9ON_ 1 S • 45 P _ 23 <br /> U13LIC Elam SERVICE5 <br /> UBL C RECORDS RELHML REQtJES5T FORM <br /> INDIVIDUAL N PHONE NO jib k6j 27t3 <br /> ADDRFM Fmnx fbls <br /> A48NCY NAME PHONE NO <br /> ADDRESS <br /> FILE ADDRESS LEAD RNEORCEM .NT ATE OF <br /> fxlow G•e �dd.tit SeS h S4L+C(:{en AUa7� i <br /> 47: f lou.b.� / }bS./ ne S(yy� •# QWit�b4� G61 <br /> °1L <br /> M Z <br /> � i{( <br /> cw I <br /> ,tc f At,' <br /> 'P-Ise) J5�At�, MA;kl--- O( ff <br /> 3 <br /> +a <br /> San Joaquin County Pu ilc health services Environmental Health DMlaa Ale!ere considered public records <br /> except for eertaln docu oats Identlud In the OOYettiment Code And the Stale Water Code, <br /> Requests for public tect rds or file reviews ere subjtet to charges established In San Joaquin County Rules and <br /> Regulation Environmet tel Health Permlt Fees and Sarded Charges, <br /> Charges for records or locuments requested by subpoena dura !atom ere subject to changes established In <br /> the Evidence Code. <br /> Photo copies of public ocumeuts ere subject to Public Records Policy #91, ML. <br /> SIGNATURP-OP EOUMINOPARl- , '- „ AATS s 3L.Ar <br /> SIGNATURE OR ELEASING OFFICIAL DATE <br /> EN 00 24 (REV I) <br /> rte/ <br /> r <br /> t <br /> t 'd ib :St zs� ie�eo 'woad <br />