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i <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> / (209) 468-3420 <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 5023 Market St . , Linden, CA 95236 <br /> (S eer AAddr s) (City) <br /> HEREBY AUTHORIZE eoanaj-ytical Laboratories <br /> (Laboratory) <br /> TO RELEASE ANY AND ALL ANALYTICAL INFORMATION TO SAN JOAQUIN COUNTY PUBLIC <br /> HEALTH SERVICES-ENVIRONMENTAL HEALTH DIVISION AS SOON AS IT IS AVAILABLE AND AT THE SAIME <br /> TIME IT IS PROVIDED TO ME OR MY REPRESENTATIVE. <br /> BUSINESS NAME: Frank's Tire Shop <br /> (If Applicable) <br /> OWNER/OPERATOR: Sally Atkins/Owner <br /> (Please Print) (Tule) <br /> ' 4/19/99 <br /> ( er/Operator Signature) (Dare) <br /> ADDRESS: 3622 W. Alpine Ave. <br /> (Mailing Address) <br /> Stockton, CA 95204 <br /> (Ciry) (Stare) (Zip Code) <br /> PHONE: ( 209 ) 464-2778 <br /> C <br /> EH 23 046 (Revised 10/19/98) Page 9 <br />