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ill i.l f ii Irl . I H., l ' <br /> wr,rr4l V.n.+ .Gtr 'a r C' ' ; <br /> R 10. rrpi+ll Von 1 N. 11 r. 14101 f 1 I It 110lui /1.r �'..n { t) 1 ,r '1114 ' r J a-1„ n, <br /> r s 1 l i,nl...rwr Glnr Y EGn 1 Ir of Cn► rrf t <br /> • r lr-yr.i, C 111 0 M <br /> 'snhr 1 ( 2UV14LG f,rltl l Gil,el <br /> J him C, l.'411 At r Col rcr sis. <br /> e Ml* h f rr.a. X071 10 Onrl. M o M P if Olslrl I line Ih (pl,es (.lit C <br /> rrlr) Ann. 1U.. C <br /> J • u L <br /> i <br /> !a)TtOR1/A110M TO RILMI AIJALY71CAI RES1MS, (401MMICA1 DATA A.,ai <br /> SITE ASSMMINT iNroHrsmon <br /> !, the undersigned Owner and/or operator of the prv;r"rty ar.d/or foclllty, <br /> )C14:dted at 873S Gl .spot I ine Road 11 It �., l .sl J t t1t 113 I _ N <br /> burutly authorize tilt, S.lu _.141,st;tti ll L">• a l� 11C.t 1 t 1, Ili - 11 t t t <br /> 10 rvlva;c1 any end all analytical results , ur'nttr)rn+cal d .td and ',, tv <br /> rssessmc:nt tntorvution to thy San Joaquin LDCdl Health District as sows <br /> as It is 6vallaUl4: ar,J at the same time it is provided to r,e or rly <br /> reprCSerltative. <br /> 6wrrer/Opera tor: hapr.tr] l�in Ingilleerilig 111c_ lltl(. Ji},rr,t <br /> Tdt1rC:S _ _�raS .Ai,7�i,a�.SL-r - Phone 9,_5, _ Z j } <br /> 401 <br /> OV7 <br /> ef <br /> r � <br /> I <br />