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3-11-1996 6:38PM FROM O'NEILL-INVESTIGATIV 7986050 N -d <br />./ <br />SAN JOAQUIN COUNTY PUBLIC HEALTH SMVIC&9 <br />ENVIRONMENTAL HEALTH bMSM <br />(2" 46-3t20 <br />AT.TTHORIZATION TO RELEASE <br />• ANALYTICAL RESULTS <br />• GEOTECHNICAL DATA <br />• ENvatONMENTALjSTTB ASSESSN[Wr WIK?kMAMON <br />L THE UNDERSIGNED OWNER ANDIOR OPERATOR OF THE PROPERTY AND/OR FACILITY <br />LOCATED AT KXNG LS�n«a�aiso a Hs Ips iauWb Lt13y N_ Src. Ctr. <br />HEREBY AUTHORIZE t ` % <br />(zAbmQtaq or O mmbant) <br />TO RELEASE ANY AND ALL ANALYTICAL DWORMATION TO SAN JOAQUIN COUNTY PUBLIC <br />HEALTH SERVICES AS SOON AS IT IS AVAMABLE AND AT TME SAUS TIME IT IS PROVIDED <br />TO ME OR MY REPRESF,NTATIV& <br />BUSINESS NAME: <br />(rJ <br />PHONE--( SIO__) hgB- x(04 <br />DATE -?? l." l y JAG <br />EH 23 041 (RVVLged 7-10.92) Par 9 <br />-- I....7CTC7GRF.R7T R7:RR QRRT/b7./T0 <br />