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MAR-28-1994 16112 FROM JAMES M MONTGOMERY, INC. TO 9-1 801 272 043015871 P.06 <br /> MITIGATION ACYROM.EDGMENT/REWEST FOR SEROS FORM <br /> SAN JOAOUIN COUNTY - PUBLIC WEALTH SERVICES/ENVIROIDIENTAL HEALTH DIVISION <br /> SITE INFORMATION <br /> TNER LEAD AGENCY RWQCBS FPA 9 <br /> Defense Distribution Region West - arpe <br /> ITE NAME Remedial Investigation AGENCY CONTADT RWOCB James Taylo <br /> PHONE (916) 255-3065 <br /> DRESS Roth Road APN 0 <br /> [iY <br /> Lathrop, CA RIP 95330 <br /> I <br /> BILLING / RESPCHS18LE PARTY INFORMATION <br /> 4ME Montgomery Watson <br /> (LING ADORES$ 4525 South Wasatch Blvd. , Suite 200 <br /> !TYSalt Lake City STATE UT I 84124 <br /> TACT NAME Sue Ann Spencer NONE (801) 272-1900 <br /> PROPERTY OWNER/OPERATOR <br /> E Defense Logistics Agency (contact: John Guzman) HONE (209) 982-2093 <br /> RESS DDRW-Sharpe, Roth Road <br /> ITT Lathrop TATE CA IP .95330 <br /> CLIENT IXFORNATICN (IF DIFFERENT FRO4 OJNER/OPERATOR) <br /> AME Same as above HONE <br /> OGRESS <br /> :ITT TATE l IP <br /> AUTHORIZATION TO RELEASE/BILLING ACIXWLEDGEMEXT <br /> 1, TXE UNDERSIGNED OWNER, OPERATOR, CLIENT, OR AGENT OF SAME, OF THE PROPERTY LOCATED AT THE ABOVE SITE ADDRESS HEREBY <br /> AUTHC21ZE THE RELEASE OF ANY AND ALL ANALYTICAL RESULTS, GZOTECHNICAL DATA AND/OR EHVIRCXMENTAL/SITE A SESSMEMT INFORMATION <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES, EXVIROHMEXTAL MEALTH DIVISION AS SOON AS IT IS AVAILABLE AMCAT THE SAME TIRE IT <br /> PROVIDED TO MF OR MT REPRESENTATIVE. <br /> ADDITIONALLY, I, THE UNDERSIGNED OWNER, OPERATOR, CLIENT, OR AGENT OF SANE, ACKXOJLEDGE THAT ALL SITE /OR PROJECT SPECIFI <br /> PHS/EHD HCURLT CHARGES ASSOCIATED WITH THIS ACTIVITY WILL BE BILLED TO THEPARTYIDENTIFIED ABOVE AS TIE •RESPONSIBLE PARTY' <br /> APPLICANT'S NAME, TITLE, SIGNATURE/DATE <br /> E Sue Ann Spencer <br /> SIGNATURE ,�..,. �_._. �j,-,.�� ATE 3-29-94.. <br /> AIT Montgomery WatsonIT ITLE Assistant Program Manager <br /> I_ <br /> 89.007(IV)12/9081LFRMI2 -� <br />