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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 /> 1, THE UNDERSIGNED OWNER AND/OR OPERATOR OF THE PROPERTY AND/OR FACILITY <br /> LOCATED AT_1035S. Aurora St. , Stockton, CA 95206 <br /> (Street Address) (City) <br /> HEREBY AUTHORIZE GeoanAlytical Laboratories <br /> (Laboratory or Consultant) <br /> TO RELEASE ANY AND ALL ANALYTICAL INFORMATION TO SAN JOAQUIN COUNTY PUBLIC <br /> HEALTH SERVICES A$ SOON AS IT IS AVAILABLE AND AT THE SAME TIME IT IS PROVIDED <br /> TO ME OR MY REPRESENTATIVE. <br /> BUSINESS NAME: <br /> (/f Applicable) <br /> Albert Vetter Sr. Owner <br /> OWNER/OPERATOR: <br /> (Please Print) (Title) <br /> D <br /> IMw! Operator Signature) <br /> ,,,., <br /> ADDRESS: P.O. Box 146 Gustavus Alaska 92826 <br /> (Mailing Address) <br /> (City) (State) (Zip Code) <br /> PHONE: (__2p7__) 697-235 <br /> DATE: <br /> 3/18/96 <br /> EH 23 041 (Revised 7-10-92) Page 9 <br />