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�r•m"Cla F.. Vannuc „_ 4 [i ,,,,.y wr(,ln: 1. lL Ls 1 l -1.n ..e 1 r 141 <br />+ CI. �nC'y.. r <br />-r- �'�1F•nihonolta Von Sp(nn5onS6RVIi <br />F ! Furl Plmonfol �01 Ease FP 41-MIPGn Avc.nuo (3, Clly of <br />�• .E Fo(n A��boo O. Ho*9 Snn Joa <br />SlUCI(Pon, California 95201 awn coil <br />n^7j;lb! !_. Floroo CITY of Eacalo <br />.rohn U. -M831, Fjjj). tb/�4 :.� <br />_ llh6-�D7Q1 Clfy of MnrttnC <br />VJWIIA,m J. Vl,do Clly of nlpo <br />MArY Anna Lovo J001 Khnnnn tij.%.1+p�-�,6'-8., pinlalcl flonitA O/(Icor city o1 Sloddo <br />CITY cf T(nc <br />Snn Jonquln Counu <br />e <br />San Joaquin C,ounll <br />n <br />AUTHORIZATION TO RELEASE ANALY'IICAI- rrFSgP1:N,p GEOTECHNICAL DATA AaSITE ASSESSMENT INFORMATION <br />I, the undersigned owner and/or opel'It • o% <br />located at 1903 NAVY DRIVE STOCKTON, GA, 1Fieproperty and/or facility <br />hereby authorize D & V MACHINE SHOP T <br />to rel y -- --___y - <br />c an and all analytical' results — <br />assessment inforrlation to the Sart JcaR~aquirsuLpcal liealth,D�strictata das'soon <br />te <br />as it is available and at the same iinle qt is provided tome or my <br />representative. <br />OwneWperator:� �=� <br />Address _1203. NAV QRIVE STOCKTON CA � � Title. yr <br />F/lG2Q� <br />Phone: 948-0925 <br />DateA /2 R <br />fH 013 05 UGT 13 <br />