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SAN JOAQUIN COUNTY 4djZ Qt�f 3,;2, <br />PUBLIC HEALTH SERVICES <br />Ei4VIRONMENTAL HEALTH DIVISION <br />PUBLIC RECORDS RELEASE REQUEST FORM <br />LNDIVIDUAL NAME r8 L \e Je,nc<n PHONE N 91(.o - 3S t - t�v <br />ADDRESS c� t3�:W S � n Ct 4 ri o �C h - y, CGS �G t <br />AGENCY NAME .c'a_t�ct �,,.15� PHONE NO,,-�,t(o <br />ADDRESS c,,e , A i-:, -.; uw <br />FILE ADDRESS <br />LEAD ENFORCEMENT DATE OF <br />AGENCY REQUEST <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 publlc documents are subject to Public Records Policy #91-001. <br />SIGNATURE OF REQUESTING PARTJY IJ Ct 10.�� DATE - 1 <br />v <br />SIGNATURE OF RELEASING OFFICIAL <br />EH 00 14 (REV 3/91) <br />!NN <br />