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2— 7—O''; 5:2�PMi�oCfefmcn:C CMC <br /> HEREBY AUTHORIZE <br /> (Laboratory) <br /> TO RELEASE ANY AND ALL ANALYTICAL INFORMATION TO SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH <br /> DEPARTMENT AS SOON AS IT IS AVATLABLE AND A THE SAME TIME IT IS PROVIDED TO ME OR MY <br /> REPRESENTATIVE. <br /> BUSYNESS NAME 7-Elevcn Inc <br /> (If Applicable) <br /> OWNERIOPERATOR: Bob DeNii no Environmental Manager <br /> (Please ri e) <br /> 4107013 <br /> (Ow er/Operator Signature) (Date) <br /> ADDRESS: P. Box 711 <br /> (Mailing Address) <br /> Dallis Tea-is 75204 <br /> (City) (State) (Zip Code) <br /> PHONE: ( 800)828-0711 <br /> 188-� 600J600 d 07�-1 £9£G dbE 902 90188 QI 'es o9 �!}gid HRM-WOad 1V 80 £O-Ol-q�d <br />