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SAN JOAQUIN COUNTY A&VtW <br /> PUBLIC HEALTH SERVICES `1 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE REQUEST FORM <br /> INDIVIDUAL NAME ��6� CL RRk PHONE NO Y 4r1-- 6 ( 1 <br /> ADDRESS P'd r7 U D a.9 sF o c i cro>J CA 9s),611 <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FILE ADDRESS LEAD ENFORCEMENT DATE OF <br /> AGENCY REQUEST <br /> 1-9 gn a) . quay 93 - r7 12g <br /> 5 , -,T, Cd. N, cf- l,0Dl <br /> 5-C a c,1�c U►� C,a <br /> z 8 199 <br /> cNivipnNMENTAL HEAL( <br /> PERMITI v � <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 S <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 3/91) <br />