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IONE NO <br />ID:CTE <br /> <br />FAX:209-551-3593 <br />SAN JOAQUIN COUNTY Frky <br />PUBLIC HFALTEI SER'S'ICES <br />ENVIRONMENTAL ILEA.LTH DIVISION <br />PUBLIC RECORDS RELEASE REQUEST FORM <br />PHONE NO <br />PPGE 2 <br />(c)R) 41ot-1-0138 <br />hiniUD <br />UitAit <br />(Do?) <br />JiL <br />11v13 16:57 <br />INDIvIDUAL NAME <br />ADDRESS <br />AGENCY NAME T F-ADDRESS <br />EILB ADDRE$S <br />/11(t Pil-e.$ art_ (octc.4-eci ti <br />.=7 ) <br />c=. k.Q valf <br />CD <br /> <br />A <br />LEAD _r4F9114:amzEr_ DATE OF AU-Pla REQ_U_Ba <br />—ELL! 111 - Fa k 1,=)s- • -r <br />' , 4 -1-csck j-5". •U) N Q, -t) <br />.111. <br />Oat A•• <br />San Joaquin County Public Health Services Environmental Health Division files are considered public records except for certain documents identificd In the Government Code and the State Water Code. <br />Requests for public records or file reviews are subject to charges established in Sari Joaquin County Rules and <br />Regulation Environmental Health Permit Fees and Services Charges. <br />Charges for <br />records or documents requested by subpoena duces tecum are subject to changes established in the Evidence Code. <br />Photo copies of public documents are subject to Public Records Policy 4191-001, <br />SIGNATURE OF REQUEST1NG PARTY -1.11,c) A DATE 21319.S- sIGNATURE OF _RELEASING OFFICIAL <br />EH 00 14 (REV 3/91) <br /> DATE