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:.. <br /> 'I <br /> I1/23/1998 17;97 209-532 3 THE CORNEP. GAS iN PAGE 31 <br /> Y. L <br /> SAN JOAQUIN COUNTY PUBLIC REALTH SERVICF_5 <br /> ENVIRONMENTAL 14EALTH DrVISTON <br /> (ZD9) 468-1420 <br /> V <br /> AUTHORIZATION TO RELEASE <br /> • ANALYTICAL, RESULTS ; <br /> GEOTECHNICAL DATA <br /> isN`+-IA014MENTAL5ITE ASSESSMENT INFORMATION <br /> -X F- UNDERSIGNED OWNER ANDIOR OPERATOR OF TIMER PET I 1 LI <br /> TY <br /> a R Y a.NI7 olz FAQ I. rY <br /> =ATE D AT (Strew Addrus) (CirT) _ <br /> IF-BY AUT}iORlx>: <br /> f1 baR%a171 <br /> l RELEASE ANY AND ALL ANALYn. CAL INFORMATION TO SAN IOAQUIN COUNTY PUBLIC <br /> ILTN 5ERVICES-F-KVIRONM"TAL REAL714 DIVISION AS SOON A5 IT I5 AVAILABLE ANO AT THF. SAME <br /> S IT IS PROVIDED TO ME OfI MY REPRESENTATIVE. <br /> BUSINP-55 NAME: <br /> bNI:R1QPERA7aR: CLV d-EA1G <br /> udie Pnnr) Mile) <br /> R"lerlpoD r Sf j;=re) (Dai <br /> ADDRESS: Zo L <br /> (Moiling.tddrrul . <br /> (Gry) _ (Steal rZip Cade) <br /> e6 !Revised 1Q/1919e) Page 9 <br />