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.. SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES /1A�tV t� r'IS—/ 3 7 <br /> ENVIRONMENTAL HEALTH DIVISION b34 <br /> PUBLIC RECORDS RELEASE REQUEST FORM <br /> INDIVIDUAL NAME i a<-lW / /ti�(7au PHONE NO a <br /> ADDRESS 1 f/G�LZ�i/:uao PL C"%r"r' l'f ('� c1 ,2 i� <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> ��p I fi FILE ADDRESS LEAD ENFORCEMENT DATE OF <br /> („ AGENCY REQUEST <br /> V'� pe,� l <br /> m � <br /> JUL <br /> i 1895 <br /> NT NE� <br /> ENVI <br /> PERMIT/SERVICE <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 tic"c"�/ �f •<'_:i DATE 7/6 J - <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 3/91) <br /> si x1�6 <br />