This government document is issued by Department of State Hospitals (DSH) for use in California
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https://www.google.com/url?client=internal-element-cse&cx=001779225245372747843:zqiqummuqzk&q=http://dsh.ca.gov/Jobs/docs/Peace_Officer_Personal_History_Statement.pdf&sa=U&ved=2ahUKEwjCnb2SxpHyAhWK_SoKHUIfCYM4MhAWMAV6BAgDEAE&usg=AOvVaw1L5YrLgEWm9TxUSgAmTXBi