This government document is issued by Department of State Hospitals for use in California
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https://www.google.com/url?client=internal-element-cse&cx=001779225245372747843:zqiqummuqzk&q=https://dsh.ca.gov/Jobs/docs/Peace_Officer_Personal_History_Statement.pdf&sa=U&ved=2ahUKEwitr4WbprqHAxUhg_0HHXTEBZ04FBAWegQIABAB&usg=AOvVaw3Rgk1zb1VOf1pPZKKT67gd&arm=e&fexp=72519171,72519168