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JI' THORPE.01L. INC 209 S" 1861 P.03 <br /> SAN 702VICES <br /> 4VIRONNMNTAL HEALTH rM ON <br /> (209)4M3420 <br /> AUTHORIZATION TO RELEASE <br /> • ANALYTLCAL MVLTS <br /> • oreoTHCHNICALDATA <br /> ENVIRONMB iTAL/SITE ASSESSMENT INFORMATION <br /> 1. 'IttE UNDERS10N8D owNER ANVOR OPERATOR OF THE PROPERTY AND/OR FACII.II'Y <br /> OCATECI AT Corral Hollow Road Trac <br /> (Sascr.tddnss) _ (CUM <br /> HEREBY AL!i HdRiTE F(,' �- ) - <br /> (LAbwdwy M ammua>u) <br /> TO RELEASE ANY AND ALL ANALY nCAL INFORMATION TO SAN JOAQUIN COUyTY PUBLIC <br /> 8F,L.TH SERVICES AS SOON AS R IS AVAB.A91-1; AND AT THE SAM1:TIME IT IS PRO'vlDED <br /> to mE OR MY REPREsa4TATIVE. <br /> BUSINESS NAME: <br /> Ul APp(Paele) <br /> OWNEWOPERATOR. San Joaquin County <br /> (Please Pint) (Tule) A <br /> 01 <br /> (Owner/ rant Sigmlute) Tom Horton, Integrated Waste Manager <br /> �p�,SS; P.O. Boa 1810 <br /> (MmWngAddteu) <br /> CA 95201 <br /> St <br /> (City) (State) (Zip Gude) <br /> PHONE: 2( 09 1 4 <br /> DATE: <br /> rH !3 fkl (Revised 7.10-92) page 9 <br /> t,/b'd MST 96. 91 NbC""....,........ <br />