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SAN JOAQUIN COUN'T'Y � <br /> PUBLIC HEALTH SERVICES <br /> E:NVIRONNM'fTAL HEALTH DIVISION 3 Y <br /> PUBLIC RECORDS RELEASE REQUEST FORM <br /> INDIVIDUALNAME'-Fl�n ry\aS -T Va 1c1,\ PHONE NO H-Te)- '3S9.1_ <br /> ADDRESS 1Zp .:,n R to LIB 3 , C� <br /> AGENCY NAME FnC4ij4pp yQ Co PHONE NO . -C;a-yv..Q- <br /> ADDRESS <br /> � P <br /> FILE ADDRESS A Ste` LEAD ENFORCEMENT DATE OF <br /> 1`� AGENCY REQUEST <br /> ZZZ �1 . E1 �otac�o Si- CVRv)C�CbSi1e e,de' 914b R-2 L .� �Scad <br /> LiLci !J Ft -DDor.,r1 r) S fi 1-p(_; i l-E. c ods. <br /> r3tfR �J . Frerna-nt SV-. LUP: si c.or -o-: Zon5 yz" 3Sa7 �w <br /> L1QZ, 1J Lor\ Lo) n st-. U R�hleD; S'i1e UY6 "y 9.bo l <br /> S EkAnT Si L- tpj� 1163457 <br /> LiZ1f U Van 12uirnll S Lon; Slle Com ZS1L j�- av g. •. <br /> t3 H W , l e <br /> F, ) W. WPIOerSi . t t2I Sle S leCN9o ' 9' 91 ,ao <br /> I <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 .r DATE z-95 <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> . TTS <br /> EH 00 14 (REV 3/91) <br />