Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE REQUEST FORM <br /> INDIVIDUALNA i ��/L PHONE O <br /> ADDRESS C4/l_ <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FILE ADDRESS ENFIOR(JEMENT DATE OF <br /> �Y REQUEST <br /> ,Vet r-".--a de <br /> OGhOo <br /> 0 ZZ Z <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 Records Policy #91-001. <br /> t <br /> SIGNATURE OF REQUESTING PARTY DATE <br /> SIGNATURE OF RELEASING OFFI DATE <br /> EH 00 14 (REV 3/91) <br />