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rn nunerre V <br />Earl Pimentnl Stockton. California 95201 cny, <br />Fern BL. Flo 209/466-678 CI <br />L <br />Daniel Florae ctly c <br />John 5. Mast. M.D. 40 6cl <br />William J. Wade Jogl Khnnna, M.O., M.P.H., District Health Officer San Joaq <br />Mary Anna Love San Joaq <br />` R 2 -6 oc 7 <br />AP <br />ENVIk��-�Im- HEH <br />ALT <br />MIT/SERVICtS <br />AUTHORIZATION F0 RELEASE ANALYTICAL RESULTS, GEOTECHNICAL DATA AND <br />SITE ASSESSMENT INFORMATION <br />I, the undersigned owner and/or operator of the property and/or facility <br />located %/c7k.NrkY he>Ji"- 9// S� �U%C�7- A <br />hereby authorize <br />to release any and all analytical results, geotechnical data and site <br />dssessment 'information to the San Joaquin Local Health District as soon <br />as it is available and at the same time it is provided to me or my <br />representative. n <br />Owned/Op <br />Address <br />Date: q/(} z <br />tle: All. <br />one: - fY( j - <br />I <br />0 <br />MAR 12 1987 <br />ENVIROMENTAL HEALTH , <br />EH 08 05 UGT 13 <br />FERMIT/SERVICES <br />I <br />