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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 /> • <br /> ENVIRONMENTAL./SITE ASSESSMENT INFORMATION <br /> 1, THE UNDERSIGNED OWNER AND/OR OPERATOR OF THE PROPERTY AND/OR FACILITY <br /> LOCATED AT 1401 W . LE MDNT STRFFT STnruTnu ra <br /> Street Address) / // 1 (City)HEREBY AUTHORIZE eOAiy�N «/ rs bo iC4 /yd r r 5 <br /> (Laborarary or Consultant) <br /> TO RELEASE ANY AND ALL ANALYTICAL INFORMATION TO SAN JOAQUIN COUNTY PUBLIC <br /> HEALTH SERVICES AS SOON AS IT IS AVAILABLE AND AT THE SAME TIME IT IS PROVIDED <br /> TO ME OR MY REPRESENTATIVE. <br /> BUSINESS NAME: VALLEY WHOLESALE DRUG CO . 2 INC . <br /> (If Applicable) <br /> OWNER/OPERATOR: LOUIS E SHONEFF CEO <br /> (Pie e ' t) �� ' (Tule) <br /> Owner/Operator Sig ure) <br /> ADDRESS: 1401 W . FREMONT STREE <br /> (Mailing Address) <br /> (City) (State) (Zip Code) <br /> PHONE: ( 209 466-0131 <br /> DATE: <br /> 5/9/94 <br /> EH 23 041 (Revised 7-10-92) Page 9 <br />