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JUL-20-1598 14:50 <br />• • <br />SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />(209) 468-3420 <br />ANALYTICAL RESULTS <br />GEOTECHNICAL DATA <br />JUL 2 2 1998 <br />EN'VIRONNIENTAL1SITS ASSESSMENT INFORMAT169 IIRONM TALHESLTH <br />PERW <br />1, TiFE UNDERSIGNED OWNS AND/OR OPERATOR OF THE PROPERTY AND/OR FACILITY <br />LOCATED AT <br />(Street Addra&3 (City) <br />HEREBY AUTHORIZE 1 b AQ.% l?S _ <br />TO RELEASE ANY AND ALL ANALYTICAL INFORMATION TO SAN JOAQUIN COUNTY PUBLIC <br />HEALTH SERVICES -ENVIRONMENTAL HEALTH DIVISION AS SOON AS IT is AVAILABLE AND AT THE S&ME <br />T2AE IT IS FROVIDED TO ME OR MY REPRESENTATIVE. <br />BUSINESS NAME: a/fiL-Mian <br />(If Applicable) <br />OWNER/OPERATOR: <br />Sign=ire) <br />PHONE: ( 14? ) 43-1737 <br />6z*,es b/ <br />Fri 23 W (Reviscd 9/11/96) <br />757 Gre 5ru'rD <br />InAp hna , eA W563 <br />(670) 3%-l.lffrPap 9 <br />aw) <br />7gjya% loy. liv jIt <br />IK en/jW jet <br />(536) <br />