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ENVIRONM tNTAL <br /> T 3420TH DIVISION <br /> AUTHORIZATION TO RELEASE <br /> ANALYTICAL RESULTS <br /> • GEOTECHNICAL DATA <br /> * ENVIRONMENTALJSITE ASSESSMENT INFORMATION <br /> I, THE UNDERSIGNED OWNER AND/OR OPERATOR OF THE PROPERTY AND/OR FACILITY <br /> LOCATED AT 1651 Louise Avenue, Lath.ra , CA (City) <br /> (Street Address) <br /> IIEREBY AUTHORIZE (Laboratory or Consultant) PUBLIC <br /> TO RELEASE EASE ANY AND ALL ANALYTICAL INFORMATION TO SAN JOAQQUIN COUNTY ED <br /> I IEALT <br /> M SERVICES AS SOON AS 1T IS AVAILABLE AND AT THE SAME TIME IT IS PROVIDED <br /> TO ME OR MY REPRESENTATIVE. <br /> BUSINESS NAME: Commercial Transfer In <br /> (1f Applicable) <br /> Terry D. Fortier President <br /> OWNERIOPERATOR: (Title) <br /> (Plea t) <br /> (Signature) <br /> ADDRESS: - p .0. Box 12004 <br /> (Mailing Address) <br /> CA 93706 <br /> Fresno (State) (zip code) <br /> (City) <br /> PHONE:( 209 __) 275-0444 <br /> DATE: 11-24-92 PAGE9 <br />