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SENT BY:PACIFIC ENVIRON. GRP. X97-c1-92 03: 1EPM 510825.✓J8524 # 2 <br /> f <br /> ' SAN JOAQUIN COUN7Y <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE REQUEST FORM <br /> pan M0.k4, 1 <br /> INDIVIDUAL NAME potu l' e EnyiroA Wm1k,( PHONE NO L5id)82S-a85� <br /> /_2 <br /> ADDRESS 0 !r/y.. C�� B/v.Q. , Ste- 401 ani hC'/(r P 4 *elf 2,3 <br /> AGENCY NAME PHONE NO I <br /> ADDRESS <br /> f <br /> f <br /> I <br /> FILE ADnRES LEAD ENFORCEMENT BATE OF <br /> AGENT RRO— <br /> EST <br /> l"rJtc I <br /> 0o ),t -MAo,'Ue e3 <br /> rite / f <br /> ,ZG'r 16,--�Sf�'rlsc'ufitr_n7 rtcr�iZ� 'f <br /> I <br /> " f <br /> I E <br /> d <br /> I <br /> I I <br /> I u�r <br /> San Joaquin County Public Health Ser ces Environmental Health Mvislon Rtes are considered public records <br /> except for certain documents identified In the (Government Code and the State Water Coda <br /> • Requests for public records or Ste 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 Coda <br /> Photo copies of public documents are subject to Public Records Policy *91-001. I <br /> s <br /> SIGNATURE OF REQUESTING PARTY DATE <br /> SIGNATURE OF RELEASING OFFICIAL. DATE <br /> I <br /> EH 00 14 (REV 3/91) <br />