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USAN JOAQUIN COUN'T'Y <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE REQUEST FORM <br /> INDIVIDUAL N /_ z5- -�C-�L PHONE 40, <br /> ADDRESS - 6/C � - 7 <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FILE ADDRESS 'tEAD_ENF+JRffBMENT DATE OF <br /> AGEN'C'Y 7 --, REQUEST <br /> /� <br /> l 0 � SSG h�U I VJ CL, o r cI �O ly 7 <br /> f <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 /> SIGNATURE OF REQUESTING PARTY DATE <br /> SIGNATURE OF RELEASING OFF I, DATE <br /> EH 00 14 (REV 3/91) <br />