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SAN JOAQUIN COUNTY <br /> clu) 95 ISS <br /> PUBLIC HEALTH SERVICES � �y <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE REQUEST FORM <br /> INDIVIDUAL NAME �� SS ��i NY.61 D PHONE NO 20 9 9S 7- 75;-0 O <br /> ADDRESS z a Pn�Gi�i G .4t u fiB .¢'cp{/ C,Q 7 <br /> AGENCY NAME STpCr, )T4,1/ PHONE NO <br /> ADDRESS Sic <br /> FILE ADDRESS LEAD ENFORCEMENT DATE OF <br /> AGENCY REQUEST <br /> l o p y8 <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 DATES <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 3/91) <br />