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SANOA UIN COUNTY <br /> J Q <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE REQUEST FORM <br /> INDIVIDUAL NAME NA N(1,L %%�// CJ Rif PHONE NO E3 9-2 94 7 <br /> ADDRESS , <br /> AGENCY NAME Old LPHONE NO 5 5 S-L 9 3,gQ <br /> ADDRESS <br /> FILE ADDRESS LEAD ENFORCEMENT DATE OF <br /> AGENCY REQUEST <br /> �a L 3 -- -C <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 /> C* 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 OFFICIAL - DATE <br /> EH 00 14 (REV 3/91) <br />