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Jul 25 02 01 : 10p Paul Supple 925 299 8872 p. 2 <br /> Jul 19 02 02: 29p Curtis Construction 209-� -2411 p. 2 <br /> wAor <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> (209)466-3420 <br /> AUTHORIZATION TO RELEASE <br /> •ANALYTICAL RESULTS <br /> •GEOTECHNICAL DATA <br /> • ENVIRONMENTAL/SITE ASSESSMENT INFORMATION <br /> 1,THE UNDERSIGNED OWNER AND/OR OPERATOR OF THE PROPERTY AND/OR FACILITY <br /> LOCATED AT �2Aa 'fe5[�5� �/'O/ tAI. l�efl/ema.✓ /./,/(QryJ / GSA . <br /> eet ddressl n/� <br /> HEREBY AUTHORIZE _ - Q LSO/A /—i!/A��/�eC�--✓/ - <br /> (1abormory) <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 /> 1 TIME IT IS PROVIDED TO ME OR MY REPRESENTATIVE <br /> BUSINESS NAME: N,p ign i Arl <br /> bcable) <br /> (If App p <br /> OWNEIUOPERATOR: �I17U/Al/7 r�/G E/It UIPO/11/Y7[!L14I RiS..Yr'35 � � • <br /> P e P tl (litic) <br /> ( er/ or Signature) <br /> ADDRESS: OD �OJI 1,.64 9 <br /> (Mailing Address) <br /> /ylo2.�asf , �A 94570- <br /> n Wiry) (Sate) (zip Code) <br /> PHONE:( 9a5) y9f <br /> 1 <br /> EH 23 046 (Revised 08113199) Page 9 <br /> I <br /> I <br /> I <br /> r <br /> f . <br />