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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 />I, THE UNDERSIGNED OWNER AND/OR OPERATOR OF THE PROPERTY AND/OR FACILITY <br />LOCATED AT 2305 S. Airport Way Stockton <br />(Street Address) (City) <br />HEREBY AUTHORIZE Del -Tech <br />(Laboratory or Coruvltant) <br />TO RELEASE ANY AND ALL ANALYTICAL INFORMATION TO SAN JOAQUIN COUNTY PUBLIC <br />HEALTH SERVICES AS SOON AS IT IS AVAILABLE AND AT THE SAME TIME IT IS PROVIDED <br />TO ME OR MY REPRESENTATIVE <br />BUSINESS NAME: Airport Passenger Inc. <br />OWNER/OPERATOR: <br />ADDRESS: 2305 S. Airport Way <br />(Mailing Address) <br />Stockton CA 95206 <br />(city) <br />PHONE:( 209 ) 948-1369 <br />DATE: <br />EH 23 041 (Revised 7.10-92) Page 9 <br />(State) (Zip Code) <br />