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May. 28. 2008 1 23P FST« EXPRESS STOCKTON No. 8862 P. 1 <br /> eqool <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY <br /> r I <br /> T'elcpho»a:(209)468.3420 FRx:(209)468-3433 <br /> AUTHORIZATION TO RELEASE � <br /> •ANALN"MCAL RESULTS <br /> i <br /> •GBOTEMINICALDATA <br /> I <br /> " ENVIRONMENTAL.ISITLASSFSSMENTINFORNIATION <br /> I,THE UNOERSRINED OWNER ANDroR OPERATOR OF'IHE PROPERTY AND/OR FACILITY <br /> LOCAT0 AT <br /> (SnYrr.4ddrerx) y) <br /> HPIZE Y AUTHaR17F. <br /> i-�� fLrtbar'ornry) <br /> TO 1011.04 ANY AND ALL ANAL1-nCA1,fNFORMA'rION TO SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTN <br /> DEPART MENIASSOON AS IT IS AVAILABLE AND AT IRE SAME <br /> TINIC IT1S PROV]DrD'l'O ME OR MY REPRF,SENTATIVE. <br /> DUSINESSNAME: <br /> ,,_��?�/ <br /> ( AppllcaNr) �� - <br /> OWNE1NO�P_ERAATTO�R: <br /> (P d (rrtle) <br /> Sy� <br /> ( wuer/Upnr�etya�r J'igr+anuro) (Drttq) <br /> ADDRESS: ._2( —X 9'..."R'Gil�p�./-��—�.--�................._.._ <br /> (MnlllrrN drlrfrcrJ <br /> (CGy) (Blare! (al)Code) <br /> EH 23 046 (Rcvisod A/J/0➢) <br /> 4 <br />