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llvI3 '96 16=57 ID=CTE FAX:M-551-3583 PAGE 2 <br /> SAN JOAQUIN COUNTY * Fa-v (ao,,) H 61-o I -m <br /> PUBLIC HEALTH SERVICES I'/^ p V� c�S'zzS <br /> ENVIRONMENTAL HEALTH DIVISION 5v�w <br /> PUBLIC RECORDS R ELEASH REQUEST FORM 3 y <br /> INDIVIDUAL NAME (ao 9) <br /> ADDRESS PHONE NO <br /> AGENCY NPu;IE _ ��-T� TONE NO <br /> ADDRESS <br /> FILE ADDRESS LEAD ENFORCEMENT O 95T <br /> AN ir !eS art focrx�e=f ;ti Marl4-cq AGEUa <br /> San Joaquin County Public Health Services 8ttviroamental Health Division files are considered public records <br /> escept for attain documents identified In the Government Code and the State Water Code <br /> Requests for public records or the reviews are subject to chines established In Stn Joaquin Conary Rules and <br /> Reguiatlon Environmental Health Permit Fees and Services Charge& <br /> Charges for records or documents requested by subpoena duces tecam are subject to changes established in <br /> the Evidence Code <br /> Photo copies oC public documents are subject to Public Records PolfeT #91-001. <br /> SIGNATURE OF REQUESTING PARTY-J DATE <br /> SIGNATURE OFRE EASING OFFICIAL DATE <br /> EH 00 14 (REV 3/91) <br />