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^""^°�" " 4002/002 <br /> PUBLII�C HEALTH SE£-`ICES oma. <br /> SAN JOAQUIN COrsr( � <br /> J0(;I HANNA M.D.M.P H z <br /> Huish Oifiier <br /> P.O. Box 2009 ) <br /> • (1601 East Huelton Avenue • Srockton, Calitomia 95201 a,cowa <br /> (209) 468-3400j11 i�ncrn�,� <br /> EWIRONbIENTAL HEALTH D[VISION llli�'V'+/��, �1'u1+Y{/ 1111l11'1111 <br /> (209) 468-3420 V <br /> AUTHORIZATION TO RELEASE <br /> AUG 2 6 1992 <br /> HEALTHEWIMIXIMENIAL• ANALYTICAL RESULTS PERMIT/SERVICES <br /> • GEOTECHNICAL DATA <br /> E`IVIRONNIENTAL/SITE ASSESSMENT INFORMATION <br /> I.THE UNDERSIGNED OWNER AND/OR OPERATOR OF THE PROPERTY AMD/OR FACILITY <br /> LOCATED AT 24 So: Hunter Street , Stockton , California <br /> (Street Address) (City) <br /> HEREBY AUTHORIZE Kleinfelder <br /> (Laboratory or Consultant) <br /> TO RELEASE ANY AND ALL ANALYTICAL INFORMATION TO SARI JOAQUIN COUNTY PUBLIC <br /> HEALTH SERVICES AS SOON AS IT IS AVAILABLE AND AT THE SAME TIME IT IS PROVIDED <br /> TO ME OR MY REPRESENTATIVE. <br /> BUSINESS NAME: <br /> (if Applicable) <br /> OWNER/OPERATOR: Co t of San J uin F2chasing Division <br /> (pl a print) (Title) <br /> a r 'Coon, chasing nager <br /> ADDS 222 E st Weber Avenue , Room 675 <br /> (Abfar fng Address) <br /> Stockton , California 95202 <br /> (City) (State) (zip code) <br /> PHONE: ( 209 ) 468-3252 <br /> DATE: <br /> EH 23 041 (SL'V 11/7/90) wp Page 9 <br />