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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />(209) 468-3420 <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 2201 WEST WASHINGTON STREET, SPOCI,'TON CA 95203 <br />(Street Address)(Cit]') <br />HEREBY AUTHORIZE <br />FGL LABORATORES <br />(Laboratory) <br />TO RELEASE ANY AND ALL ANALYTICAL INFORMATION TO SAN JOAQUIN COUNTY PUBLIC <br />HEALTH SERVICES -ENVIRONMENTAL HEALTH DIVISION AS SOON AS IT IS AVAILABLE AND AT THE SAME <br />TIME IT IS PROVIDED TO ME OR MY REPRESENTATIVE. <br />BUSINESS NAME: <br />OWNER/OPERATOR: <br />STOCk'ION PORT DISTRICT <br />(If Applicable) <br />BARRY H,., NICHOLSON, ENVIRONVEENi`AL SPECIALIST <br />ADDRESS: PO BOX 2050 <br />(Mailing Address) <br />ST cKTON, CA 95201 <br />(Cij°) (state) (Zip Cade) <br />PHONE: (200 ) 946-0246 <br />EH 23 046 (Revised 9/11/96) Page 9 <br />