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PUBL; Hr. <br /> SAN JOAQUIN COUNTY <br /> JOGI KIIANNA M.11,M=P.1I. <br /> I1e�llh Olf+cec ���.i� N <br /> r.v. li<rx zoa9 • (1601 E23t liar un Avenge) •Siodton,C211romis 95 ;1 <br /> (209) 468-3400 <br /> ENVIRONMEN'.TAL IIEALTTI DIVISION <br /> (209) 468-3427 <br /> RELEASE' <br /> ' ANALYTICAL RESULTS <br /> • GEOTECHNICAL DATA <br /> • <br /> ENViRUNMEN-IAL!SI'IE ASSESSMENT INFORMATION <br /> I, 11 IE UNDERSIGNED OWNER ANDIOR OPERATOR OF T}IE PROPERTY AND/OR FACILITY <br /> 8751 E. Hwy 12, Victor, CA <br /> LOCATED AT (City) <br /> (Srreer Address) <br /> I11:REIlY AUIIIORIZE F.G.L. Environmental <br /> (Laboratory or Consultant) <br /> TO RELEASE ANY AND ALL ANALYTICAL.INFORMATION TO SAN 3OAQUIN COUNTY PUBLIC <br /> IIEALTI I SERVICES A$ SOON AS IT IS AVAILABLE AND AT 711E SAME TIME IT IS PROVIDED <br /> To ME OR MY REPRESEN-TATIVE. <br /> DUSINFISS NAME: Dole Fresh Fruit Co. <br /> (If Applicable) <br /> ONWER/OPERATOR: Same as above <br /> (flea. 1'nrrrr) (7)rle) <br /> k- <br /> (Sig►narure) <br /> ADDRESS: 8751 E. Hwy 12 <br /> (Marling Address) <br /> Victor, Ca. 95253 <br /> (City) (Stare) (zip code) <br /> 209 334-2780 <br /> PRONE: (�J <br /> bn I'E: <br /> 10/21/91 <br /> Ell 23 o4l CAFV 2/8/91) wp Page 9 <br /> A nhAilnn of 3m lntgafn Crnmq Itnhh Care Semkeg �� <br />