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P.91 <br />JUN_29-94 _LIED__ 9-32 <br />---�- TO 15994395 P.02 <br />06-29-1994 08+3ePM FFCM Sw <br />SAN IOAQULN COUNTY PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />(209)46S-3420 <br />AUTHORIZAnON TO RELEASE <br />. ANALYTICAL RESULTS <br />GEOTECHNICAL DATA <br />I;NVMONMENTAL tTE ASSEssNENT INFORMA17ON <br />1. THE UnERSIOiNED OWNER AND/OR OPERATOR OF TFM PROPERTY AND/OR FACILI17Y <br />LOCATM AT_ 3?, -2c) go, SOCK -MK) Sr' 'KipvN <br />HEREBY AUTHORIZE _ C.7 t,, O f -F t-4 R L 1 1 t �-"L— cess e, i v •• � • ., 1 <br />(Labw,007 or ConauUuo <br />TO RELEASE ANY AND ALri ANALYTICAL IlVFORMATION TO SAN IOAQULV COUNTY PUBLIC <br />HEALTH SERVICES AS SOON AS IT IS AVAILASLE AND AT TES SAME TIME PT IS PROVIDED <br />TO ME OR MY REPRESENT'AT5M <br />BUSiNEss NAME: <br />OWNERIOPERATOR: <br />.To <br />PHONE: ( 900) <br />DATE_ �Q a? 8 i r 9 1 <br />M 23 041 (Revised 7-10-92) Page 9 <br />TOTRL P.02 <br />06-29-1994 E9:32AM P.01 <br />