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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> (209) 468-3420 <br /> AUTHORIZATION TO RELEASE <br /> ANALYTICAL RESULTS .. <br /> • GEOTECHNICAL DATA <br /> • ENVIRONMENTAL/SITE ASSESSMENT INFORMATION <br /> 1, THE UNDERSIGNED OWNER AND/OR OPERATOR OF THE PROPERTY AND/OR FACILITY <br /> LOCATED AT 240 N. California Street Stockton California <br /> (Street Address) (City) <br /> HEREBY AUTHORIZE GeoAnalytical Laboratories <br /> (Laboratory or Consultant) <br /> TO RELEASE ANY AND ALL ANALYTICAL INFORMATION TO SAN JOAQUIN COUNTY PUBLIC <br /> IIEALTH SERVICES AS SOON AS IT IS AVAILABLE AND AT THE SAME TIME IT IS PROVIDED <br /> TO ME OR MY REPRESENTATIVE <br /> BUSINESS NAME: RAY FARMER ENTERPRISES INC. <br /> (If Applicable) -- - - <br /> OWNER/OPERATOR: RAMI? F. FARMER President <br /> (Please Print) (Title) <br /> er/Operator Signature) <br /> ADDRESS: 3810 Fourteen Mi lP Drive* Stnrktan' Cal i fcirnia, 95219 <br /> (Mailing Address) <br /> Stockton Califcrnin 95219 <br /> (City) (State) (Zip Code) <br /> PHONE: (, 209_) 952-326 <br /> DATE: <br /> Sad tPmh�r 1 f,� 1 9911 <br /> EH 23 041 (Revised 7-10-92) Page 9 <br />