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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DMSION <br /> (209)468-3420 <br /> AUTHORIZATION TO RELEASE <br /> • ANALYTICAL RESULTS <br /> •GEOTECHNICAL. DATA <br /> • ENVIRONMENTALSITE ASSESSMENT INFORMATION <br /> 1, THE UNDERSIGNED OWNER AND/OR OPERATOR OF THE PROPERTY AND/OR FACILITY <br /> LOCATED AT 6425 Pacific Avenue, Stockton <br /> (Street Address) (City) <br /> HEREBY AUTHORIZE North State Environmental <br /> (Laboratory) <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 /> TIME IT IS PROVIDED TO ME OR MY REPRESENTATIVE. <br /> BUSINESS NAME: Wickland Properties <br /> (If Applicable) <br /> OWNER/OPERATOR: .John MargoWski Director of Environmental Affairs <br /> ( lease Print) Mule) <br /> 16 9 <br /> (70. <br /> er/O erator Signature) (Dare) <br /> ADDRESS: Box 13648 <br /> (Mailing Address) <br /> Sacramento, CA 95853-4648 <br /> (City) (State) (Zip Cade) <br /> PHONE: 2q K— <br /> EH 23 046 (Revised 10/19/98) Page 9 <br />