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aoptr3 L* uUtrr b=tt�j <br /> ENVIRONMENTAL FIEAL174 DIVISION <br /> (209) 468-3420 <br /> AUTHORIZATION TO RELEASE <br /> • ANALYTICAL RESULTS <br /> • GEOTECHNICAL DATA <br /> ' ENVIRONMENTALJSITE ASSESSMENT INFORMATION <br /> 1, 1*1 TE UNDERSIGNED OWNER AND/OR OPERATOR OF THE PROPERTY AND/OR FACILITY <br /> LOCATED AT 300 S. California Street, Stockton, CA 95203 <br /> (Street Address) (city) <br /> HEREBY AU11IORIZE GeoAnalytical Laboratories <br /> (Laboratory or Consultant) <br /> -10 RELEASE ANY AND ALL ANALYTICAL INFORMATION TO SAN JOAQUIN COUNTY PUBLIC <br /> I 1EAL"1*11 SERVICES AS SOON AS IT IS AVAILABLE AND AT TfIE SAME TIME IT IS PROVIDED <br /> TO ME OR MY REPRESENTATIVE. <br /> BUSINESS NAME: <br /> (1f Applicable) <br /> OWNER/OPERATOR: Ml kke �/ly � e-z— �G(�lye – <br /> (Please Print) (Tule) <br /> (Signature) <br /> ADDRESS: <br /> (Afailing Address) <br /> (City) (Sca(e) (zip code) <br /> PIIONE: ( 14.7 <br /> DATE: <br /> /6—7-1— Q )— PAGE 9 <br />