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• SAN JOAQUIN COUNTY 7yS-rsl <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION 3 v <br /> PUBLIC RECORDS RELEASE REQUEST FORM <br /> INDIVIDUALNAE-�nn rnctS J '/a 1C-h PHONE NO -:v2)--:v2)- 359.E <br /> M <br /> ADDRESS -Ll& R e Lfe3 , cf� , <br /> AGENCY NAME 'v Co PHONE NO Sa nye <br /> ADDRESS <br /> rP <br /> FILE ADDRESS Ste` LEAD ENFORCEMENT DATE OF <br /> AGENCY REQUEST <br /> Z7Z ?J . E� �ocac�o S C .� R�C�Cb;Si1P rude-91L46 4',-Z-9Saf4e6y. <br /> LfAA } 1, EI -DocaAn Sh -(k. c -4-(n 3SZ7 C" ,-eC <br /> PILI 91 V �7 .311% L`- <br /> I-IP? P , Lcv-, coin st . 9751-1 9.46 d <br /> L42-1 IJ, St. FN /:7 ` Si j2 Nom_: 11f.3L157, 11 33-.x6 3 <br /> 4 i4 U- V u r 3urr.11 S . L - 5 4e zsl L Vj7 I g <br /> ALl \,J , \,J e4a.r. /h-Z <br /> (,Lh W . WQher OMO I c4e ; CIv90 9?O1 <br /> I <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 DATEB-1-95 <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 3/91) <br /> 9// '/g S— <br />