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FROM :B.Z.SERUICESTATION MAIN" aNCE FAX NO. :916 371 2540 Aug. 11 2006 01:24PM P10 <br /> \./ lmw <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> (209)466-3420 <br /> AITMORIZATION TO RELEASE <br /> 'ANALYTICAL RESULTS <br /> *GEOTECHNICAL DATA <br /> * P.NV IRONMENTAL/SITE ASSFSSMP.NT TNPORMATTON <br /> T,TT-TE UNDERSIGNED OWNER AND/OR OPERA'T'OR.OF THE PROPERTY AND/OR FACT 1.1T'Y <br /> LOCATED AT <br /> (Street Address) (City) <br /> HEREBY A13THORTZE <br /> (Laboratory) <br /> TO RELEASE ANY AND ALL ANALYTICAL INFORMATION TO SAN JOAQUIN COUNTY ENVTkONMIiNTAL I-WALTH <br /> DEPARTMENT AS SOON AS IT IS AVAILABLE AND AT TINE SAME <br /> TIME..IT IS PROVIDED TOME OR MY REPRESENTATIVE. <br /> BUSINESS NAME: <br /> (IjApplicable) <br /> OWNFR/OPERATOR: <br /> (,Please Print) (7Ytle) <br /> (Owner/Operator Signaluv.) (Uwe) <br /> ADDRESS: <br /> (Mailing Address) <br /> (City) ('SYwe) (Zip Calc) <br /> PHONE:( ) ... ._ . . ...-._._... --......_... <br /> Eli 23 046 (Rcviwd 1/24/02) <br /> 6 <br />