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PnlNotsE.V•rmaoeL S•••y ,ou' eastNaiNlonAvonua,P,0,Box 2Oo9 QV of <br /> t'etnmY Jel'e• r s'" <br /> Stockton, Caglomis 952, '1p'q"t"cc <br /> E•N frynrMlM !•n Jppyp,Cr <br /> virelN•Mathew <br /> ally of ti•t <br /> DMW L P•tp (200)40W81 oily of Mar <br /> John n.Moil,M.D. City of P <br /> C•n•R Kreh•m 402100446,MA.M.P.H„D{•tftl Has"QMGvf ,K Gly tl1 Slat <br /> city olt <br /> son JO•gyh,to <br /> AUTUORIZATION TO RELEASE ANALYTICAL RESULTS, GEOTECHNICAL DATA AND <br /> SITE ASSESSMENT INIFURtMATION <br /> le the undergignod owner Aand/or operator of the property and/or facility <br /> located at �'p a°"! r✓c ,y <br /> N <br /> hereby authorize • rir Fc ,,rv„ xkl.�i <br /> to release any and all analytical results, Oat <br /> l <br /> asse88ment information to the San Joaquin Local eHealth Dis assite <br /> as it ib available and at- the same time it its provided to mo or my <br /> representative. <br /> Owner/Operator; , . TalS lC.r <br /> Address: Title: <br /> C34• <br /> Date; <br /> EH 23 041 3/86 <br /> tit <br />