Laserfiche WebLink
12-14-1995 10:d3AM FROM O'NEILL-IN'VESTIGATIV 7986050 P.1 <br />10/28/1995 00:02 12598325'l --r2 WRIGHT ENVIRON ENTAL PAGE 02 <br />SAN JOAQIJItI COUNTY PUBLIC HEALTH SERVICES <br />EZ;MONMEIVTAL HEALTH DIVISION <br />(209) 468.3420 <br />ALTMOPIZATION TO RELEASE <br />• ANALYTICAL RESULTS <br />• GEOTE*1147CAL DATA <br />MmMOMAMgTALwm ASSESSN!£NT INFORMATION <br />L THE UNDERSIGNED OWN <br />�E <br />�R AND/OIt�OF THE PROPERTY AND/OR FACILITY <br />LOC.S.TED AT <br />K/�JG /F-eSo p' �SLA�D <br />(Bost Mdrta) <br />(City) <br />HER.SYALTHORfZE W�/v�q�� EdY/PaJMs-nOG Ndicbs /.Jg <br />(Lebwmf-7 a C*A9dtW) <br />TO RELEASE ANY AND ALL ANALYTICAL INFORMAnoN TO SAN JOAQVIN COUNTY PUBLIC <br />HEALTH SERVICES AS SOON AS IT IS AVA)IABLE AND AT THE SAME TIME IT IS PROVIDED <br />TO \,M OR MY REPRESFNTATfvE <br />BUSINESS NAME: <br />OWNER/OP6PJkTOR al,�c <br />D c=itG <br />ADDRESS: �zG �gSo /1/0 194 <br />fMai�gAd�s>1) <br />(cky) (Sarre) (Zip Code) <br />PHONE: ( /0) '> 98- s 2 L <br />DATE: <br />Eli Z3 oe1 (Rowed 7-10-92) Page 9 <br />