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Jul. 10. 2008 10: 32AM West Star Environmental, Inc. No. 8964P. 4 <br /> C:NVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JQUIN COUNTY <br /> Telephone: (209)468-3420 Fax: (209)468-3433 <br /> AUT14ORIZATION TO RELEASE <br /> ANALYTICAL RESULTS <br /> GEOTECHNICAL DATA <br /> ENviRONNIENTAUSITE ASSESSMENT INFORMATION <br /> 1,THE UNDERSIGNED OWNER AND/Ok OPERATOR OF TIIE PROPERTY AND/OR FACILITY <br /> LOCATED AT <br /> 0 :7 <br /> (StreetAddress) (City) <br /> HEREBY AUTHORIZE <br /> (z story) <br /> i <br /> TO RELEASE ANY AND ALL ANALYTICAL INFO RMAT[ON TO SAN JOAQUIN COUNTY ENVIRONMENTAL BEAj.TH <br /> DEPARTMENTAS SOON AS I'I'IS AVAILABLE AND AT THE SANIE <br /> TIME IT IS D'I'O ME OR MY REPRESENTATIT <br /> B f SS NAME: - <br /> (/fAp licable) <br /> O OPERATOR: <br /> (Pleave,Print) i e <br /> (Owner/Operator nate (Date) <br /> ADDRESS: <br /> (Mailing Addreu <br /> (state) (Zip Code) <br /> PHONE: (Clity) <br /> Ell 23 046 (Revised 85/07) <br /> 4 <br />