Laserfiche WebLink
10/17/2000 09:00 2094683433 FIFTH FL_COR PAGE 09 <br /> SAN JOAQUIN COU'NT'Y PUBLIC FM4_LTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> ")"8-3420 <br /> AUTHORIZATION TQ RELEASE <br /> * ANALYTICAL RESULTS <br /> * GEOTECHNICAL DATA <br /> * ENVIRONMENTALISM ASSESSMENT INFORMATION <br /> I. THE UNDERSIGNED OWNER AND/OR OPERATOR OF THE PROPERTY AND/OR FACILITY <br /> LOCATED AT 6425 PACIFIC AVENUE, STOCKTON, CA/, <br /> (Street Address) (C!ry) <br /> HEREBY AUMORIZE—l!d.C.!'.i%MES E.l.L. F1Jy.A.l V T T,CAl <br /> (wry) <br /> TO RELEASE ANY AND ALL ANALYTICAL INFORMATION TO SAN JOAQUIN COUNTY FUBLIC <br /> HEALTH SERVICES-ENVIRON [ENTAL HEAL'T'H DIVISION AS SOON AS IT IS AVAILABLE AND AT THE SAME <br /> TWE IT 19 PROVIDED TO ME OR MY REPRESENTATIVE. <br /> BUSINESS NAME: <br /> OVINER/OPBRATOR: ARK Y E K T A OWNER <br /> ( � (Plewe PMym) _ �Iftlel <br /> Pwn=/operater Signmaare) (Dire) <br /> ADDRESS ?.0•_ -.R�LY�2 2 ZS <br /> (MaMnS Address) <br /> DANVILLE CA 94526 <br /> (Crty) (fie) (TAP code) <br /> PHONE- { 9 2 5 ) <br />'-H 23 046 (Revised 08113/99) Page 9 <br />