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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 />• ENVIRONMENTALISITE ASSESSMENT INFORMATION <br />I. THE UNDERSIGNED OWNER AND/OR OPERATOR OF THE PROPERTY ANDlOR FACILITY <br />LOCATED AT 7759 South Airport <br />, Stockton, CA 95206 <br />HEREBY AUT130RIZfi Kiff Analytical <br />(Taborntory) ' <br />TO RELEASE ANY AND ALL ANALYTICAL INFORMATION TO SAN JOAQUIN COUNTY PUBLIC <br />HEALTH SERVICES -ENVIRONMENTAL HEALTH DIVISION AS SOON AS iT LS AVAILABLE AND AT THE SAME <br />TIME 1T IS PROVIDED TO ME OR MY REPRESENTATIVE. <br />BUSINESS NAME: <br />OWNERJOPERATOP, <br />San Joaquin County Mosquito & Vector Control District <br />ADDRESS: 7759 South Airport Wa <br />(Mailing Address) <br />Stockton CA 95206 <br />(r') (Sorrel (ZP Code) <br />PHONE:( 209 ) 982-4675 <br />EH 23 046 (Revised 10/19198) Page 9 <br />