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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 />* ENVIRONMENTAUSITE ASSESSMENT INFORMATION <br />I, THE UNDERSIGNED OWNER AND/OR OPERATOR OF THE PROPERTY AND/OR FACILITY <br />LOCATED AT 700 East Roth Road Lathrop. CA 95330 <br />(Street Address) (City) <br />IIEREBY AUTHORIZE Geo Analytical Laboratories or Wm Hunter And Associates <br />(Laboratory or Consultant) <br />TO RELEASE ANY AND ALL ANALYTICAL INFORMATION TO SAN JOAQUIN COUNTY PUBLIC <br />HEALTH SERVICES AS SOON AS IT IS AVAILABLE AND AT THE SAME TIME IT IS PROVIDED <br />TO ME OR MY REPRESENTATIVE. <br />BUSINESS NAME: DDRW - Shar e Facility <br />(If Applicable) <br />OWNER/OPERATOR: Richard Starke Environmental Officer <br />(Please Print) (Title) <br />(Owner/Operator Signature) <br />ADDRESS: PO BOX 960001, Building 5-108 <br />(Mailing Address) <br />Stockton CA 95296 <br />(City) (State) (Zip Code) <br />PHONE: (-2Q9---) 82-20 <br />DATE: <br />EH 23 041 (Revised 7-10-92) Page 9 <br />