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SAN JOAQUIN COUNTY <br /> PUBLIC IIF.ALTII SERVICES <br /> ENVIRONMENTAL IIEALTII DIVISION <br /> PUBLIC RECORDS RELEASE REQUEST FORM <br /> INDIVIDUAL NAME �, � r 7{( /lf�.F �i2 j PHONE NO <br /> ADDRESS <br /> AGENCY NAME x�nr F P HON NO <br /> NE O <br /> ADDRESS P <br /> FILE ADDRESS LEAD ENFORCEMENT DATE OF <br /> AGENCY REQUEST <br /> Lc/AS ' <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 /6 <br /> SIGNATURE OF RELEASING OFF[CIAL _ d DATE <br /> F11 00 14 (REV 3/91) <br />