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%�, *4w <br />SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL S ALT14 DIVISION <br />pug) 461-M20 <br />AUTHORIZATION TO RELEASE <br />ANALYTICAL RRSULTS <br />" GEOTWHNICAL DATA <br />" ENVIRONMEsNTAWSITE ASSESSMENT INFORMATION <br />1. THE UNDERSIGNED OWNER ANDJOR OPERATOR OF THEPROP <br />E <br />RTY ANDIQR�FACILIITY <br />LOCATED ATl/- <br />- <br />JIMBYAUTHORIZE 17f��St ✓[(YJl�..% Li-_ .- .' ?---- <br />(Cna•aroiary) <br />TO RFLEASE ANY AND ALL ANALYTICAL INFORMATION TO SAN JOAQUIN COUNTY PUBLIC <br />HEALTH SERVICMENVIRONMENTAL HEALTH DIVISION AS SOON AS IT 13 AVAILABLE AND AT In SAME <br />TIME 17 LS PROVIDED TO MB OR MY REPRESENTATIVE. <br />t7n <br />hUSINESSNAM.B: _.,�.�.6f r- IC -i Aj ._ <br />(I F;cabfoj - <br />OWNEWOPERATOR: C5, -- (ro l�A3i <br />ADDRESS: <br />Y:26 A/PfbDj &, -harA-E2) 5-knP*_. <br />RN"t) <br />937- 5339 <br />EH 23 04 (Rcvimd 10/19!98) pAge 9 <br />9---) 7a2-- <br />