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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPAR <br />(209) 468-3420 <br />AUTHORIZATION TO <br />* ANALYTICAL RESULTS <br />* GEOTECHNICAL DAT <br />* ENVIkONMENTAL/SITE ASSESSMENT INFORMATION <br />I, THE UNDERSIGNED OWNER AND/OR OPERA'T'OR OF THE PROPERTY AND/OR FACILITY <br />LOCATED AT <br />(Street Address) (City) <br />HEREBY AUTHORIZE <br />TO RELEASE ANY AND ALL ANALYTICAL INFORMATION TO' AN JOAQUIN COUNTY ENVIRONMENTAL HEALTH <br />DEPARTMENT AS SOON AS IT IS AVAILABLE AND AT THE SAME <br />TIME IT IS PROVIDED TO ME OR MY REPRESENTATIVE. <br />rm is u4o kxevisea iiz,+iuz) <br />