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ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY <br /> Teleph one: (209)468-3420 Fex: (209)468-3433 <br /> AUTHORIZATION TO RELEASE <br /> ANALYTICAL RESULTS <br /> 'GEOTECHNICAL DATA <br /> • ENVIRONMENTAUSITEASSESSN1ENTt\FOR-NfATIDN <br /> 1.THE UNDERSIGNED OWNER ANDIOR OPERATOR OF THE PROPERTY ANDOR FACILITY <br /> LOCATED AT 3 East Eleventh Street Tracy.CA <br /> (S.,,et Addrev.q ICifr; <br /> HEREBY <br /> AUTHORIZE Precision Enviro-Tech.Stockton,California <br /> (Lrcborarnrl') <br /> TO RELEASE ANY AND ALL ANALYTICAL INFORNIATION TO SAN JOAQUIN' COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTN-IENT AS SOON AS 1T IS AVAILABLE AND AT THE SAME <br /> TIME IT IS PROVIDED TO NIE OR MY REPRESENTATIVE. <br /> BLISINESS NAA1E: Levand-Bright Property <br /> lhdppla,ddc) <br /> OWNEROPERP.TOR_ Louis Levand_Trust.Et.al. Paula Levand.Trustee <br /> !P a rlri p (7ido <br /> 101% lntTlpu atvr'.k;m:rrnrrl JD:rfc•1 <br /> ADDRESS. 22692 Sand Wedge Lane <br /> 1)1"I rg:Addrrasl <br /> Valencia CA 91365 <br /> (Circ/ !Stam) i7ip Cadr7 <br /> PHONE:( 661 ? 902-2133 <br /> f_H'3 blfi (Rcriecd S:PI11 ti <br /> SANJOAQUIN COUNTY'ENVIRONMENTAL HEALTH DEPARTMENT <br /> SERVICE REQUEST <br /> Type of Business or Property FACILITY 10: SERVICE REOVEST C <br /> Vacant ��]] <br /> OWNER 1 OPERATOR ChECK if SIUn10 AOaR599 LEF <br /> Louis Levand Trust.Et.al.,Go Ms.Paula Levand <br />