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TAN JOAQUIN COUNTY PUBLIC HEALTH StkVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> (209) 468-3420 <br /> AUTHORIZATION TO RELEASE ' <br /> " ANALYTICAL RESULTS <br /> " GEOTECHNICAL DATA <br /> " <br /> ENVIRONMENTAL/SITE ASSESSMENT INFORMATION <br /> I, THE UNDERSIGNED OWNER AND/OR OPERATOR OF THE PROPERTY AND/OR FACILITY <br /> LOCATED AT 3132 Farmington Rd. Stockton, Ca. <br /> (Street Address) (City) <br /> HEREBY AUTHORIZE Advanced Geo Environmenta 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 /> Latricia Briggs <br /> BUSINESS NAME: B S B Equipment <br /> (If Applicable) <br /> OWNER/OPERATOR: Mr. B. Enterprises Owner <br /> (Please Print) (Tde) <br /> Richard 0. Bywater <br /> (Owner/Operator Signature) (Date) <br /> ADDRESS: P.O. Box 31600 <br /> (Mailing Address) <br /> Stockton, Ca. 95213 <br /> (City) (Stare) (Ep Cade) <br /> PHONE: ( 209) 742-3131 <br /> EH 23 046 (Revised 9/11/96) Page 9 <br />