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u y <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY <br /> Telephone: (209)468-3420 Fax: (209)468-3433 <br /> AUTHORIZATION TO RELEASE <br /> 'ANALYTICAL RESULTS <br /> * GEOTECHNICAL DATA <br /> * ENVIRONMENTAL/SITE ASSESSMENT INFORMATION <br /> I,THE UNDERSIGNED OWNER AND/OR OPERATOR OF THE PROPERTY AND/OR FACILITY <br /> LOCATED AT 3 East Eleventh Street Tracy, CA <br /> (Street Address) (Cih') <br /> HEREBY <br /> AUTHORIZE Precision Enviro-Tech, Stockton, California <br /> (Laboratory) <br /> TO RELEASE ANY AND ALL ANALYTICAL INFORMATION TO SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT AS SOON AS IT IS AVAILABLE AND AT THE SAME <br /> TIME IT IS PROVIDED TO ME OR MY REPRESENTATIVE. <br /> BUSINESS NAME: Levand-Bright Property <br /> (If Applicable) <br /> OWNER/OPERATOR: Louis Levand Trust, Et.ai. Paula Levand, Trustee <br /> (Please Print) (Title) <br /> (Owner/Operator Signature) (Date) <br /> ADDRESS: 24692 Sand Wedge Lane <br /> (Mailing Address) <br /> Valencia CA 91355 <br /> (city) (State) (Zip Code) <br /> PHONE:( 661 ) 904-2133 <br /> EH 23 046 (Revised 8/1/1I) 8 <br />