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la30i97 17:05 FACILITY PLANNING + 2098325152 NO.70E 002 <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL REALTH DIVISION <br /> (209) 468.3420 <br /> AUTHORIZATION TO RELEASE <br /> • ANALYTICAL RESULTS <br /> r GEOTECHNICAL DATA <br /> " ENVIRONMENTAL(MTE ASSESSMENT INFORMATION <br /> 1, THE UNI/ERSIONED OWNER AND/OR OPERATOR OF THE PROPERTY AND/OR FACILITY <br /> LOCATED AT I'`G�p_E2 YI SsE �- SD1 <br /> (Sunt Addras) (City) <br /> HEREBY A JTHORIZE <br /> 4(Zaboratory) <br /> TO RELEAI;E ANY AND ALL ANALYTICAL INFORMATION TO SAN JOAQUIN COUNTY PU13LIC <br /> HEALTH SERVICES-ENVIRONMENTAL HEALTH DIVISION AS SOON AS IT 15 AVAILABLE AND AT THE SAME <br /> TIME IT IS PROVIDED TO ME OR MY REPRESENTATIVE. <br /> BUSK(FM NAME: <br /> (f/AppUcabte) - <br /> OWNERio1PERATOR: SCa-IL-tA>=Te7P, �paS cctu»c ) iylA(� <br /> ease Prim) (JSrle) <br /> 2l 'Ir ! 1 <br /> /Operator Signarure) ) <br /> ADDRESS: <br /> 01la(llng Addiersj ' <br /> (C`N) (Suue) (Ctp Cods) <br /> PHONE: ( 009 ).. 3 ! r7aZ1 q <br /> EH 23 046 (3:avloed 9111/96) Page 9 <br /> Z0 3"4, -lViN34NOKAN3 !HDIW LB79LE860L £0:60 C667/6L/0T <br />