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• 0 <br /> PUBLIC HEALTH SERVII <br /> SAN JOAQUINCOUNTY I.' ',`11 Crf _F.t.{. - Cl <br /> i <br /> JOGI KHANNA M.D.,M.P.H. u,j J!lay r ' Ptf <br /> Hn11h Officer <br /> P.O. Bou 2009 . (1601 East Hazelcon Avenue) . Scocktun, Cilifurnia 93201 <br /> (209) 468.3400 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> (209) 468-3420 <br /> A U T H O R I Z A T I C3" T C3 R E L E A S E <br /> * ANALYTICAL RESULTS <br /> + GEOTECHNICAL DATA <br /> L <br /> it ENVIRONMENTAL/SITE ASSESSMENT INFORMATION <br /> I, THE UNDERSIGNED O NER��ND/u OPERATLOR OF THE PROPERTY AND/OR FACILITY <br /> LOCATED AT 57 oa/CZa <br /> (STREET ADDRESSI <br /> HEREBY AUTHORIZE C'--RY7-oN ENV/ (CITY)�7EN7 L o !SUET <br /> (LABRATORY or CONSUL FA—N 7) <br /> TO RELEASE ANY AND ALL ANALYTICAL RESULTS, GEOTECHNICAL DATA AND/OR <br /> ENVIRONMENTAL/SITE ASSESSMENT INFORMATION TO SAN JOAQUIN COUNTY PUBLIC <br /> HEALTH SERVICES AS SOON AS IT IS AVAILABLE AND AT THE SAME TIME IT IS <br /> PROVIDED TO ME OR MY REPRESENTATIVE. <br /> BUSINESS NAME: Stockton Savings Bank <br /> (IF APPLICABLE) <br /> OWNER/DPERATOR: Rob Wooton, Vice-Pkesident <br /> (PL,EASE P INT) (TITLE) <br /> 0�k <br /> (SI NA ) <br /> ADDRESS: 212 N. San Joaquin St. <br /> (NAILING ADDRESS) <br /> Stockton <br /> CA 95202 <br /> (Cl TYJ <br /> (STATE) (ZIP) <br /> PHONE: _( 209 1 948-6870 <br /> i <br /> DATE: June 9, 1993 <br /> i <br /> EH 23 041 Revised 10/89 <br />