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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 3131 Arch Road StQckton <br /> (Street Address) (City) <br /> HEREBY AUTHORIZE Se_auoia Laboratories <br /> (Laboratory) <br /> TO RELEASE ANY AND ALL ANALYTICAL INFORMATION TO SAN JOAQUIN COUNTY PUBLIC <br /> HEALTH SERVICES-ENVIRONMENTAL HEALTH DIVISION AS SOON AS IT IS AVAILABLE AND AT THE SAME <br /> TIME IT IS PROVIDED TO ME OR MY REPRESENTATIVE. <br /> BUSINESS NAME: United States Postal Service <br /> (If Applicable) yp, ,/�d � r �p <br /> OWNER/OPERATOR: Amit Bhatia �' l ""'YI /I1 �Air <br /> `L+ " <br /> (Pleashn nt) (7itle) <br /> x $ <br /> (Own / pera o re) (p e) <br /> ADDRESS: pa i i s Fa i l ii-i pa Rp i ro C)ff i cam; "195 (lvc r Oi n Bled- - # <br /> (Mailing Address) <br /> South San Francisco CA 94099-0300 <br /> (City) (State) (Zip Code) <br /> PHONE: ( 415 ) 794-6153 <br /> EH 23 046 (Revised 9/11/96) Page 9 <br />