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SAN JOAQUIN CO VNT1! <br /> PUBLIC HE"7'R SERVICES <br /> RNWRON11 EN1"AL RF/1LTH DMISION <br /> PUBLIC RECORDS RELFA$g REQUEST FORM <br /> INDIVIDUALN `. J I�J % �I" P <br /> ADDRESS <br /> AGENCY NAME <br /> ADDRESS - PHO) O U 13 <br /> mum <br /> --------------- <br /> I <br /> I <br /> - - <br /> ENVIRONMENTAL HEALTH <br /> IEf2VICES <br /> San Joaquin Coanty Pu tla Health Seng ca Eatvlaoomental 14621th Dlvblon(Iles Sre considered pubttc records i <br /> except far certaltt doeu tuts identified In the Government Code and the State Water C•adc, <br /> ltcquests for public r da or file reviews are subject t�Charges established In Sols Joaquin County Rales and <br /> Regulatlon Rnvlronm let Hralth Petmlt Feta and 5erv#ces Cttarga. <br /> I � <br /> charges for records ar ocuments tequested by subpoena duces tecuttt are sub to changes estsbllshed in <br /> the Evidence Cade. <br /> Photo Coples of public locumeaft ate Subject to Public Revards potley #91-001. <br /> SIGNATURE OF R P7QUF�I'INC3PAR � <br /> A- <br /> SICNATURE OF R ELEASINa OFFICIAL _ DATA <br /> EH 00 14 (REV 3 1) r k <br /> i r JL n R s � pdJa f� ittal memo 7874 #of pages ► <br /> r to , From $� <br /> ] <br /> (� �\ Dept, 4� 1t�.1/LGC�tJ Phone - •�'1 .� <br /> i d <br />