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� T•.Gwe.n.«. pair JU^UUrir L-V%-AL NtAL 11ti U0hil,) <br /> M.V Maw L-w.Vic*1'r«. SEAYING <br /> 'ir44Fc44 L {�•�,, <br /> Y 1601 Eut"414hon Avanuo. P.O.Bar 2009 CgrolLodi <br /> .raw.ecR <br /> E d fww«dra Stockton.Caw mla 95201 <br /> �Wwn�C.urMr <br /> V1FVk*MoM►ows Cf111off cmoa <br /> O"W L FWr" (2091466.6141 �� �°`;�1�',� �Y o11d.n�oc■ <br /> G*M' �.IGoh� 1*0 MA'-Ai1.r.14okmd H Mlk 01 k-W 'ah oQ SWCkWn <br /> C y.d lrr*cy <br /> NV I <br /> AUTHORIZATION TO RELEASE ANALYTICAL RESULTS, GEOTECHNICAL DATA AND <br /> SITE ASSESSWE,NT INFORUATION <br />` 1 <br /> the uadersl,gaed owner and/or operator of the property <br /> located at p I" and/or facility <br /> hereby authorize ,� A, f � <br /> n r <br /> to release any and all analytical results. <br />* assessmea<tt information to the Sangeotechnical data and si t <br /> Joaquin Local. health District as soon <br /> as it is available and at the same time it is provided to me or m <br /> y <br />� representative, <br /> Owner/U <br /> Aerator: <br /> Title: <br /> Address Phone: <br />! V SSG <br /> Da tt : <br />{ <br /> r:. <br /> h <br /> EH 0s os UGT 13 <br /> r.��� . � ,�a:: '," ;:�. • ;�.�.,`taw. i .. .. - , ., <br /> r #`E. � � .�'.-1Y- `J -•A'f�'� �"RRi✓i,w�h..}•Jo!_ t' _i.. "" [-nit1�'� .Mr�1t'r r t� �',.. �y SM,,,qq,..,w►,,,,r. <br />