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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION -;I A <br /> ,_ ,L !(E�i� rel <br /> ' <br /> (209) 468-3420 ;i. ir'rE <br /> 22 PM 3: 17 <br /> AUTHORIZATION TO RELEASE <br /> ' ANALYTICAL RESULTS <br /> ' GEOTECHNICAL DATA <br /> ' ENVIRONMENTAL/SITE ASSESSMENT INFORMATION <br /> I, THE UNDERSIGNED OWNER AND/OR OPERATOR OF THE PROPERTY AND/OR FACILITY <br /> LOCATED AT 368 ' West of the East end of Amtrak Depot, 90 'North of main track <br /> (Street Address) (City) <br /> HEREBY AUTHORIZE Sparger Technology <br /> (Laboratory or Consultant) <br /> TO RELEASE ANY AND ALL ANALYTICAL INFORMATION TO SAN 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 /> BUSINESSNAME: Atchison, Topeka and Santa Fe Railway Company <br /> (If Applicable) <br /> OWNER/OPERATOR: Same /�i(i7paPri/bl1✓hP_nt� (� <br /> (pie (Tit( Op ew,��11� <br /> (Owner70perutor Signa rcrc) <br /> ADDRESS: 7.40 East Carnegie Drive <br /> (Mailing Address) <br /> San Bernadino, CA 92408 <br /> (City) (State) (Zip Code) <br /> PHONE: ( 909 386-4082 <br /> DATE: <br /> EH 23 041 (Revised 7-10-92) Page 9 <br />