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1h/13 '95 16:57 ID=CTE FAX=2CG-551-3593 `P,GE 2 <br /> • SAN JOAQUIN COUNTY • �a X CaO4� 4�4-o i 3S <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION Qprv-t <br /> PUBLIC RECORDS RELMSE REQUEST FORM uuuu <br /> INDIVIDUALNAAME lao9� 7 <br /> ADDRESS PHONE NO <br /> _ nn <br /> AGENCY NAME r� PItoNE NO <br /> ADDRESS _ <br /> 1~ILS DRF-';S LEAD ENFORCEMENT DATFOF <br /> Aj ( Ft7-es are locr,. eJ Io Mart-Lc AGEwa <br /> lyt Al r1kc lir -% <br /> j tiles_ l�� _ !� �(f - e wt - Fa •f <br /> J.7 <br /> San loagaia County Public Health Servicet Envtrumne sal Health Division tales ate considered ublic records <br /> Pt for certain documents identified In the Government Code and the SL1 to Water p <br /> Code, <br /> Requests Car pubik records or ale rcvie"are subject to chases established to San Joaquin Caunry Rules and <br /> Reguiataon F_rrvimnmenlal Heath Fermtt Feer and Service Charges. <br /> Ciarges for records or documents requested by subpoena duces t=m are subject to changes established in <br /> the Evidence Code, <br /> Photo caPies of public documents are subject to Public Records PoIIey *91-001, <br /> SIGNATURE OF REQUESTING PARTYDATE I( IS <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 3191) <br />