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0 AA0 or Tttu:rrct:,0 SAN JOAQUIN LOCAL HEALTH DISTRICT !€ASR1tG <br /> N C.a.,fifes. <br /> UI PWWAA Vk•P,: 1041 East HUalton Avonuo J"qWA Gxrtry <br /> Tyr4wce-Soo, Stockton,Cal,forN495') 5 GTrwmj,'WA <br /> 3,s+w f.Cv��n G y ar rMa+�+r <br /> .ksrm 0:Ata.t to 0: i00i MHARKA. IA 0. UAH. MSTOUCT xMT)i 0vpjj:tA �Y d t ate <br /> thwussaft wt0v.". ENVIRONMENTAL HEALTH DIVISION Ott o+rte' <br /> Narvey tYAAm11 PR 0, "of 5wxw <br /> ^U-r"om x Z^-r Y ON TCI sREL„ E3 1z <br /> '►ti ANALYTICAL RESULTS <br /> +a GEOTECHNICAL DATA <br /> *� ENVIRONMENTAL/SITE ASSESSMENT INFORMATION <br /> I, THE UNDERSIGNED OWNER AND/OR OPERATOR OF THE PROPERTY AND/O!? FACILITY <br /> LOCATED AT ALROO <br /> rsrr tr utrtst) rcrl�) <br /> HEREBY AUTHORIZE_ '`r F'.r:!-tr l•r s r�<1i .f ,.,`01 C1+t,L� ,,, <br /> rt+Swrrt@tl ar tCrSlttt!!) <br /> TO RELEASE ANY AND ALL ANALYTICAL RESULTS, GEOTECHNICAL DATA ANO/OR <br /> ENVIRONMENTAL/SITE ASSESSMENT INFORMATION TO THE SAN JOAOUIN LOCAL HEALTH <br /> DISTRICT AS SOON AS IT IS AVAILABLE AND AT THE SAME TIME IT IS PROVIDED <br /> TO ME OR MY REPRESENTATIVE, <br /> BUSINESS NAMES MOORE PETHOLIlfK <br /> rtt�ruclttt) <br /> OWNER/OPERATORz it RY moopE rftE5It1E ;�? <br /> rlifist /lilt) j rrtrttl <br /> ts��)rr�ft) <br /> f:. <br /> ADDRESS: L P.O. BOX Gl <br /> uutrrs At:ttss) <br /> BANTA CA 95]il» <br /> (Utr) Wilt) (it?) <br /> PHONE. 009 7 63S-2750 <br /> DATE: 2-24-89 <br /> EH 2"3 041 R*vt%ed t/B? <br /> .140 POO~ <br /> a <br />