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00C-04-96 04:31P Wayne Perry Inc- 714 523-7880 P. 02 _ <br /> SAN]OAQUIN COUNTY(PUBLIC HEALTH SERYICES <br /> ENvIRONMENTAL HEALTH DMSION <br /> (209)468-34M <br /> AUTHORIZATION TO RELEASE <br /> • ANALYTICAL RESULTS <br /> • GEOTECHNICAL DATA <br /> ENVIRONMENTALlSITE ASSESSNIE14T INFORMATION <br /> 1.THE UNDERSIGNED OWNER AND,OR OPERATOR OF THE PROPERTY AND/OR FACILITY <br /> LOCATED AT 15 Nua)�. 1 u La�� L oA -- <br /> (Saes Address) (a'1'1 <br /> HEREBY AUTHORIZE <br /> pabnrnmry) <br /> TO RELEASE ANY AND ALL ANALYTICAL INFORMATION TO SAX JOAQUIN COUNTY PUBLIC <br /> 14EALIH SERVICES-ENVIRONMENTAL HEALTH DIVISION AS SOON AS IT IS AVAILABLE LVD AT THE SA,IIE <br /> TIME IT IS PROVIDED TO 'ME OR MY REPRESENTATIVE. <br /> BUSINESS NAME: u - � " L. � y} <br /> OWNER/OPERATOR: <br /> e prvre) [tt[el <br /> ADDRESS: - <br /> -- (Mailing Address) <br /> �500� <br /> (ary) (Sauy Mp Cade) <br /> PHONE <br /> EH a 0d6 (Revised 7110!96) Page 9 <br /> TO,'10'd 2-£9# C£:bT SO-ZT`966T bZ6S LLZ Z09 3ldIS3 lda2l 0083wC: W06,J <br />