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JUN-15-99 TUE 1147 Rpmcon FAX NO 9163774209 P U2 <br /> SAN JOAQm COUNTY PUBLIC 0ALTH SEIRVICF. <br /> ENVIRONIrf$NTAL i-IL.V..;A DIVISION <br /> (209)46&3410 <br /> AUTHORIZATION TO RELEASE <br /> ' ANALYTICAL RESULTS <br /> GEOTECHNICAL DATA <br /> • 5NVIRONMENTAIJSfrfi ASsEs2omNT INFORMATION <br /> I, THE UNDERSIGNED OWNER ANDIOR OPERATOR O�F THEPROPERTYAND/OR.FACILPPY <br /> LOCATED AT � 13� N(Gfh R1eP0 ]`C� <br /> (Strecr Addros C CO N'� ' .� F-4 <br /> HEREBY AUTHORIZE CC u ` <br /> ( X97 <br /> 7'p RUYASH ANY AND ALL ANALYTICAL INFORMATION TO SAN 1QAQUN CO(JWEY PUBLIC <br /> HEALTH SERVICES-ENVIRONMENTAL HEALTH DIV181ON AS SOON AS LF LS AVAII &IBLE AND AT THE SAME <br /> TIME P1' IS PROVIDED TO ME OR MY PXYRESENTA+TIVE- <br /> BUSINESS NAME: Jl.J� LillI�t <br /> lgf AA➢ticab ! &, (?Ah t <br /> OWNER/OPERATOR: (-1 1 <br /> ( cc Fn <br /> �t Sig+i�rel ID�e) <br /> ADDRESS: 3775 �sf✓�Q 6/�c� <br /> (M�ling lditress) <br /> WAo� SRcn.l (,a 9j'I95 oovY <br /> __ (�Yl (Sorrel pp Coal <br /> PHONE: V( � 3 7 3 -8 702- <br /> KK 23 045 t1tavLsua 101191M Pap 9 <br /> JUN-15-1999 11:45 9163724209 P•02 <br />