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riw.G.M.UR er"a 160 t Ead Hazatlon Avera .P.O.BOX 2009 <br /> wry Aw U.+Yle.ha SM J wA.CaY"y <br /> .Y4V E Yaw..od Sw 'V. S«kir CWR y"95261 CRY M Eit <br /> n�rq Jsya cNY of" W <br /> M" (209)4664751 C CA Rh� <br /> « � <br /> w.rl L fio.es J�!(w«rti Y.D.MJJL DL IMaM plicv Cly N Tds y <br /> sTn D.Mai,Ma. Ssn Jow�rn Cw�ry <br /> one S. <br /> AUIBOR11AT1ON TO RELEASE ANALYTICAI. RESULTS. GEOIECHNICAL DATA AND m <br /> SITE ASSESSKENT INEORMAlION <br /> u <br /> J <br /> ri <br /> 1, the undersigned owner and/or operator of the property and/or facility <br /> located at �g�� "lQ(SNGII hXIAUe. S+OCX"�24 CA ~ <br /> T hereby authorize -Pc.'AeS � Moore- <br /> to release any and all analytical results, geotechnical data and site _ <br /> assessment inforlration to the San Joaquin Local Health District as soon <br /> as it is available and at the same time it is provided to me or Dry <br /> r- <br /> representative- <br /> TI Cwnel­/Operator- <br /> Yj <br /> n66 Phone: c°�s23-re60 <br /> Address r:e. �nx <br /> m <br /> Date: r,� (� i9t- -- <br /> * The owner of the facility is American Moulding & Millwork (AM & M) <br /> Company. American Forest Products Company (former owner of the <br /> facility) is, with permission of AM & M, conducting a site inves- <br /> tigation and in control of the information as set forth in this <br /> release. American Forest Products will release information and <br /> data to San Joaquin Local Health District in accordance with <br /> this release. <br /> i <br /> 0- <br /> ry <br /> Eli Ofl OS UGF 13 � t�. 'P\' \�'` <br />