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SA N 10 A Q U I N Environmental Health Department <br /> —COUNTY <br /> AUTHORIZATION TO RELEASE <br /> *ANALYTICAL RESULTS <br /> *GEOTECHNICAL DATA <br /> ENVIRONMENTAL/SITE ASSESSMENT INFORMATION <br /> I,THE UNDERSIGNED OWNER AND/OR OPERATOR OF THE PROPERTY AND/OR FACILITY LOCATED AT <br /> STOCKTON UNIFIED SCHOOL DISTRICT(WEBER INSTITUTE) STOCKTON <br /> (Street Address) (City) <br /> HEREBY AUTHORIZE <br /> MCCAMPBELL_ANALYTICAL <br /> (Laboratory) <br /> TO RELEASE ANY AND ALL ANALYTICAL INFORMATION TO SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT AS SOON AS IT IS AVAILABLE AND AT THE <br /> SAME TIME IT IS PROVIDED TO ME OR MY REPRESENTATIVE. <br /> BUSINESS NAME: STOCKTON UNIFIED SCHOOL DISTRICT(WEBER INSTITUTE) <br /> (IfApplicable) <br /> OWNER/OPERATOR: STOCKTON UNIFIED SCHOOL DISTRICT pI (600( FOIGilifieS aln Vil <br /> (Please Print) (Title) <br /> �Lt(&,P_r RTWK.) 01 <br /> (Owner/Operator Signature) (Date) <br /> ADDRESS: 1944 EL PINAL DRIVE <br /> (Mailing Address) <br /> STOCKTON CA 95205 <br /> (City) (State) (Zip Code) <br /> PHONE:(209 )933-7045 <br /> 8of10 <br />