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J1M. THORPF. 01L. INC 209 368 1851 P. 04 <br /> `� 1J <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> (209)468-7420 <br /> AUTHORIZATION TO RELEASE <br /> •ANALYTICAL RESULTS <br /> "GEOTECHNICAL DATA <br /> ENVIRONMENTAIISITE ASSESSMENT INFORMATION <br /> Hl; IINDERSIG ED k:W NER AND/OR OPERATOR OF THE PROPERTY AND/OR FACILITY <br /> I. AFFOAT - 11292 North Alpine Road, Stockton, California 95.212_ <br /> Argon Address) <br /> (City) <br /> (Laboratory) <br /> U-LEASF AN) %NU ALL ANALYTICAL INFORMATION TO SAN JOAQUIN COUNTY PUBLIC <br /> --I:%1x71 SERVICE FM IRONMENTAL HEALTH DIVISION AS SOON AS IT IS AVAILABLE AND AT THF SAME <br /> :"U !TIS PROVI FD CO ME OR MY REPRESENTATIVE. <br /> BUSINESS N NE: San Tomo Partners ...... <br /> (if <br /> (1/Applicable) <br /> P7iNCK'OPERA :)R- Gene Wallom <br /> Please Print) airle) <br /> (Owner Operator Signature) (Aare) <br /> ADD ESS 11292 North Alpine Road <br /> _ (Mailing Address) <br /> Stockton, California 95212 <br /> (City) (stare) (Zip Cate) v <br /> PI )N): (_209_�— 948-0792 <br /> i rot. lRevise, W/1 #98) Page 9 <br />