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JUN-28--2005 TUE 01 :38 PM GARY FRUSH FAX N0. 209 474 1303 P, 02 eG/27/2605 14:12 209; -8158 MJ KI,gEEi<bAN, PAGZ n, P.O. Boa; 576981 M.J. Kloberdanz & Associates Modesto, California 95357-6981 Environmental Services Phone, (209) 577-8186 1i ax: (209) 577-8158 Records Access Release .ro Whom It May colice*rn: I (W e), macrrl— AfF_1UO«� ._--- _ , , Cite owner(s) of the pt-opex iy located at permission give P n t•o M.J. Klolaerdai,x & Associates, to access this property as well as ptY ire records related to the prpperty ro �=- Signature Print Nanac of signature rhoue Number of Deed Holder: VM31M fid#yrnd) C`a THEODORE R CHAVEZ At GMY at Law loxtructions: 210 N.Pau*St..Ste.201 S 3"0.CA 95112 The name of the owner must be the same name that appears on the Assesoor's Rocom as the bead Holder, If a company or rorparation names hAis boon used on the bead than that name must be usad above as the owner's name, Time Corporation of aampahy letterhead should be used to photocopy this form before cornplk*ting. Some county Aeaessor's require an orisloni signature (no photocopy or fax). This rorm'should be mallud to M.J.Kioberda"A Assoelates with a signature in an ink color other than black . As avallabie, and if pertinent, copigrt of the following must be provided to M.J. Kloberdanz 8 .Associates by the proporky owner prior to job start: * Any previously Generated Approjeal or Environmental Assessment Report£ • Slte Contact Name • Site Contact Telephone Nuinher * List of prior owners of the property, with the years they gwned the properly, and currant phono numbers, • Authorisation-to view Assessor records of any larger parcel that the$lit'`may have b".n"apiit" From, • Copy of isuMneam Plan for storage of chemleais filed with the County EnvironrtmnnWl Health PcEvartmant. . • Any other records that the owner may hAve that wQujd bo W:Spfyi during this study that may be availabin