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JUIN COUNTY PUBLIC HEALWER.ES <br /> ENVIRONMENTAL HEALTH DMSION <br /> (209) 469-3410 <br /> AUTHORIZATION TO RELEASE <br /> • ANALYTICAL RESULTS <br /> • GEOTECI-MCAL DATA <br /> ENVIRONMENTALISITE ASSESSMENT INFORMATION <br /> I, THE UNDERSIGNED OWNER AND/OR OPERATOR OF THE PROPERTY AND/OR FACILITY <br /> LOCATED AT 7647 Pacific Avenue Stockton <br /> (Street Address) (City) <br /> HEREBY AUTHORIZE Alisto Engineering <br /> (laboratory or Consultant) <br /> TO RELEASE ANY AND ALL ANALYTICAL INFORMATION TO SAN JOAQUIN COUNTY PUBLIC <br /> HEALTH SERVICES AS SOON AS 1T IS AVAILABLE 4ArD AT THE SAME TIIvtE 1T IS PROVIDED <br /> TO ME OR MY REPRESENTATIVE <br /> BUSINESS NAME: Togro Northwest <br /> (if Aaplirable) <br /> OWNER/OPERATOR: T averence B Cil Fnviro M^naoar - <br /> (Please Pant) (Tale) <br /> (Ownerioperator Signature) <br /> ADDRESS: 601 Union St. Suite 2 0 <br /> (Mailing Address) <br /> Seattle <br /> (Cit) (Stare) (Zip Code) <br /> PHONE: (—L-6 _) 442-7160 <br /> RECEIVED <br /> DATE: JUN 18 1995 <br /> €NVIRONM€NTAL HLALTH <br /> PERMIT/SERVICES <br /> EH 23 041 (Revised 7-10-92) Page 9 <br />