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10/25/2002 10:36 20946834.3 FIFTH FLOOR PAGE 06 <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />(209) 468-3420 <br />AUTHORIZATION TO RELEASE <br />• ANALYTICAL RESULTS <br />I GEOTECHNICAL DATA <br />* ENVIRONMENTAL/SITE ASSESSMENT INFORMATION <br />I, THE UNDERSIGNED OWNER AND/OR OPERATOR OF THE PROPERTY AND/OR FACIIXIT <br />LOCATED AT <br />4L <br />(Street Address) <br />(City) <br />HEREBY AUTHORIZE 14 C-4 V A. 1A C e e -7,c ; ')-w u <br />i V- oC07 (7— ^ / Lt se s <br />O, ANY AND ALL ANALYTICAL INFORMATION TO SAN JOAQUIN COUNTY EN'VIRONMENTAL HEALTfi <br />DEPARTMENT AS SOON AS IT IS AVAILABLE AND AT THE SAME <br />TIME IT IS PROVEDED TO ME OR MY REPRESENTATIVE. <br />-e 7— <br />—LJZ- c ro V--5 <br />BUSINESS NAME- / -1-,-e <br />(7fApplicable) <br />mZN1 <br />(Mailing Address) <br />(City) (State—) (zip code) <br />PRONE: Q(7 <br />EH 23 046 (Revised M24102) <br />6 <br />