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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> (209) 468-3420 <br /> AUTHORIZATION TO RELEASE <br /> * ANALYTICAL RESULTS <br /> * GEOTECHNICAL DATA <br /> * ENVIRONMENTAL/SITE ASSESSMENT INFORMATION <br /> I, THE UNDERSIGNED OWNER AND/OR OPERATOR OF THE PROPERTY AND/OR FACILITY <br /> LOCATED AT 800 West Church Street, Stockton, CA 95203 <br /> (Street Address) (City) <br /> HEREBY AUTHORIZE Chromalab Inc. <br /> (Laboratory) <br /> TO RELEASE ANY AND ALL ANALYTICAL INFORMATION TO SAN JOAQUIN COUNTY PUBLIC <br /> HEALTH SERVICES-ENVIRONMENTAL HEALTH DIVISION AS SOON AS IT IS AVAILABLE AND AT THE SAME <br /> TIME IT IS PROVIDED TO ME OR MY REPRESENTATIVE. <br /> BUSINESS NAME: _ Newark Sierra Paperboard Mill <br /> (If Applicable) <br /> OWNER/OPERATOR: Mat( X. VPi Gy-rlQfOAI M04) 0,62 <br /> ase Print) (Iltle <br /> (1 1 2"y Ll�, 1 <br /> (Owner/Operator Signature) ate) <br /> ADDRESS: 800 West Church St. <br /> (Mailing Address) <br /> Stockton, CA 95203 <br /> (City) (State) (Lip Code) <br /> PHONE: ( 209 ) 466-7088 <br /> EH 23 046 (Revised 9/11/96) Page 9 <br />