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ate' SAN JOAQUIN COUNTY <br /> ENPUBLIC HEALTH SERVICES <br /> VIRONMENTAL HEALTH DIVISION 3 Y <br /> PUBLIC RECORDS RELEASE REQUEST FORM <br /> INDIVIDUAL NAMEo r-naS PHONE NO 12)- 359_L <br /> ADDRESS 12p R t-42 L16 <br /> AGENCY NAME 'V Co PHONE O Harv-, , <br /> ADDRESS -91 <br /> FILE ADDRESS Qc1� S 5 LEAD ENFORCEMENT DATE OF <br /> AGENCY REQUEST <br /> ,35J-7 <br /> ar► Lo r ,-0- - 2-&n5 we-ZIL 35 7 <br /> 1E }4 Aiv iS�,! -- : -L16 5 r{ JSP z6 <br /> Z V v1 S J 1 - C7z -1--L- <br /> d <br /> i <br /> San Joaquin County Public Health Services Environmental Health Division files are considered public records: <br /> except ror certain documents identified in the Government Code and the State Water Code. <br /> , <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 Cade. <br /> Photo copies of public documents are subject to Public Records Policy #91-001'' <br /> F. <br /> SIGNATURE OF REQUESTING PARTY DATE B-2--96 <br /> SIGNATURE OF RELEASING OFFICIAL '' DATE <br /> EH 00 14 (REV 3/91) <br /> %�/� _ <br />