Laserfiche WebLink
JAN -18-2002 16:07 CITY OF LODI PW DEPT <br />SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br />ENV IRONMIeNTAL HLALTiI DIVISION <br />fM "il-3421D <br />AUTHORIzATION TO RELEASE <br />• <br />ANALYTICAL RESULTS <br />• Gb07ECHNICAL DATA <br />• ENVIRONMF.NTALJ=S AS,=MENT I.NOORMA7T0N <br />1. THE UNDELSUINED OWNER AND/OR OPERATOR OF THE PROMTY AND= FACHM <br />LOCATED AT /3 -3 / S, pp-cj� /1,40LP—:_ /pa j` <br />P.02 <br />HMUMY AUTUMIZE <br />- T <br />TO RELEASE ANY AND ALL ANALYTICAL D*VPMA7)ON TO SAN JoA*IN CDVNPY PUBLIC <br />MEALTR S®IVICES-MWMONMENTAL HEALTH DrIMDN AS SOON AS IT IS AVAILABLE AND AT THE SAm <br />TIME IT IS PROVIDED TD kM DY MY RBPRE$WrA7TV8. <br />00DAES5 NAMIR: j�,� esr /-000" <br />ADDPM&- K.,e <br />1 (nsdmu �t�,r�s) <br />h-o'v r 6 t <br />pHOIv>E• �� X33 -�- 6 �Do �-~�f � 6r%�' <br />EH 23 D" (Uviaod ON Of") 9 <br />r <br />TOTAL P.02 <br />