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ECONO LUI3E N TUNE Fax-714-851-4810 Oct 14 °04 15_33 P.01 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> (209)468.3420 <br /> AUMORIZAMN TO RELEASE <br /> "ANALYTICAL RESULTS <br /> "GEOTECHNICAL DATA <br /> * INNVMONN ENTAL/$M ASSESSM>wM D4P[tRMATTUN <br /> 1,THE UNDERSIGNED OWNER ANDIOR OPERATOR OF TFIE PROPERTY`AND/OR FACILITY <br /> LOCATED AT _( r[!(A)�e. SMq Y.\ <br /> (Sleet A (CRY) <br /> IEREEXAUTHOR122 FM— <br /> aoborataty) <br /> TO RELEASE ANY AND ALL ANALYTICAL.INFORMATION TO SAN JOAQUIN MWT'Y ENVIRONMENTAL HEALTH <br /> DEPARTMENT AS SOON AS IT 16 AVAR ABLE AND AT THE SAME TIME IT IS PROMED TO ME OR MY <br /> RBMSENTATLVE. <br /> BUSINESS NAME: EC.cn 0 L� �'L o� T--e -lU (3 0 <br /> (1IAPPJk�k) <br /> OWNEWOPPRATOR: sj ee L Qa a a d �L� s�e Pm.p.� e»7 <br /> (p1mv irk <br /> -l3-� <br /> (Own mrsgmdure)j (") <br /> ADDRESS: q�o "J z', 1 <br /> ("bwAd&C-) <br /> ,,,7—�,'c C,�4,o tU C-,A <br /> (City') ( !e} (Zip Co.*) <br /> PHONE, <br /> EH 23 046 (Revised I0/L 6/03) Page 4 <br />