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n2'tc-. 193 10:f .. 1[1:i-T� FI-Ca�L!�",hl- rt-aac c <br /> a <br /> SAN JOAQUIN COUNTY Wo-1 Li <br /> PUBLIC B EALT9 SERVICES <br /> LN'V1RONh1HITI'A1, LLEA.L 11 DIVISION <br /> PUBLIC RECORDS RSLRiSE REQUEST FORM 9�7 - Q 3 O <br /> l.NI7iVIDUAI,NMAE jar PHONE <br /> ADDRF_SS <br /> AGENCY NAME T i . PHONE No <br /> AnORRSS <br /> Rf( adlres5e a.re %ri ritarrkca <br /> FII. AD R r > nD FNFQRCEMENT DATE OF <br /> AGENCY REQUEST <br /> 'mF <br /> Matti o,�� <br /> .1�� S. Ynrzin S-� - Omnnf Pn•ta./ <br /> �n3 5 , UrL o1n atJP, - J4 I's <br /> �}� n 00,x, ,fit. - Gh, vF MnnfPra <br /> 3 <br /> at 7 � 1tsh <br /> �r7 S M al'o 5f 5 <br /> San Joaquin ra-)unry Public Health Services Enviroememni Health Division (Iles are oonsidered public records <br /> except for certain documents identified In the Govcmmcnt Cafe and the State Water Code. <br /> Requests for public records or Cele reviews are sub(ect to charges established Lz Sart Joaquin County Ruten and <br /> Regulation Environmental Health Permit Fees and Services Charges. <br /> Charges (or records or documents requested by subpoena duces tecam are subject to changes established in <br /> the Evidence Code. <br /> Photo copies of public docurnenrs are subject to Public Records Policy N91-WI. <br /> SIGNA17IRFOEKLQ1J STING PARTY 1�+ A� `�� - DATE lS (p <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 3/91) <br />