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Jan 29 03 10: 07a Wallace Chevron 9"- 842 4133 p. 2 <br /> SAN IOE VtRONMENTALHEALTH DIVI RONUBLIC HEALTE R410E5 <br /> (209)466.3420 <br /> AUTHORIZATION TO RELEASE <br /> `� • ANALYTICAL RESULTS <br /> •GEOTECHNICAL DATA <br /> • ENVIRONMENTALJSITE ASSESSMENT INFORMATION <br /> 1,THE UNDERSIGNED OWNER ANDIOR OPERATOR OF THE PROPERLY AND/OR FACILITY <br /> LOCATED AT 139 5. CENTER STREET, STOCKTON (CiryJ <br /> (Street Addrea) LANCASTER <br /> HEREBY AUTHORIZE (Ty6eta4ry) <br /> TO RELEASE ANY AND ALL ANALYTICAL INFORMATION TO SAN I OAQUTN COUNTY PUBLIC <br /> HEALTH SERVICES.FWIRONMENTAL HEALTH DIVISION AS SOON AS IT IS AVAILABLE AND AT THE SAME <br /> TIRE IT IS PROVIDED TO ME OR MY REPRESENTATIVE. <br /> I <br /> BUSINESS NAME: CW'raCN SERVICE STATION <br /> (fJ�pplica6le) <br /> LARRY 0. WALLACE PR02ECT MANAGER <br /> i OWNERIOPERATOR. _ (Title) <br /> ! wpe !Operator Sigromrel <br /> (Dae) <br /> ADDRESS' 6001 eOL INGER CANYON ROAD, SLOG T <br /> ail' g Addretd) - <br /> SAN RAIrON _�SS..g,T __ ,Sat) (up fade) <br /> (Gry) <br /> PHONB:( 925 ) 842-9067 707-938-8830 CELL <br /> jo-PLEASE REFER TO LETTER OF AGENCY" <br /> EH23046 (Revixd OBJ l3l99) <br /> �6t 9 <br />