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SANTOAQUIN COUNTY PUBLIC HEALTH SER"ES <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 730 E. Channel Stockton <br /> (Street Address) n (City) <br /> HEREBY AUTHORIZE Egon Lahora ory <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 /> FORMER <br /> BUSINESS NAME: Stockton Metro Transit Dist. <br /> (If Applicable) <br /> OWNER/OPERATOR: Raymond Investment Corp President <br /> (Please Print) (Title) <br /> J /Icy+ 06/0> <br /> i (Ow /OP a r Signature) (Date) <br /> ADDRESS: 817 South Center St. <br /> (Maifing Address) <br /> Stockton CA 95206 <br /> (Cin,) (grate) ((Zip Code) <br /> PHONE: ( 209 ) _ 466-8604 _ _ ----- <br /> EH 23 016 iRCvised �131l3r99) Pane 9 <br />