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JAN 24 2003 9: 338M KAISER PERMAMENTE STOCKTO 2094765137 p. 2 <br /> 1p <br /> 0112312003 15,22 2098325152 WRIGAT ENVIRONMENTAL PAGE 03 <br /> S&N IOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> F-NvtRONMr2NTAL HEALTH omsio.4 <br /> (209)464-3420 <br /> AUTHORIZATION TO RELEASE <br /> ANALYTICAL RESULTS <br /> GEOTECHNICAL DATA <br /> ENVIRONMENTAL/SITS ASSESSMENT INFORMATION <br /> 1,THE U NDERSIGNEID OWNER ANDfOR OPEXkTOR OF THE PROPERTY AND/OR FACILITY <br /> LOCATED AT <br /> -1,373 Ww, lzm <br /> )ja <br /> (Street Address) City) <br /> HEREBY AUTHORIZE_ 711 . <br /> {Laborer Ary) <br /> TO R"RASE ANY AND ALL ANALYTICAL INFORMA,710N TO SAN JOAQUIN COUNTY PUBLIC <br /> HEALTV SERVICES-ENVIRONMENTAL HEALTH DIVISION AS SOON AS IT 15 AVAILABLE AND AT TKI SAME <br /> TIME IT IS PROVIDED TO VE OR MY REPRESENTATIYE, <br /> BUSINESS NAME: k4 ol-5 e r --19e Z Aol 0.4 <br /> OWNERIOPE /I k4p C-4 G <br /> c> <br /> ADDRESS; <br /> C/9 WO <br /> (Cily) (ZipCode) <br /> PHONE:(-2192—) 7-9 -3. <br /> EK23045 (Revised 08113199) 9 <br />