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i <br /> PUBLIC HEALTH SERIICES ,Q� o <br /> SAN)OAQUIN COUNTY <br /> a: <br /> JOGI KHANNA M.D.,M.P.H. <br /> Hcal{h Officef <br /> E.O. Box 2009 • (1601 East Hazdton Avenuc) • Stockton, CAllfomia 95201 <br /> (209) 468.3400 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> (209) 468-3427 <br /> A=ORIZATION To RELEASE <br /> ' ANALYTICAL RESULTS <br /> + GEOTECHNICAL DATA <br /> ENVIRONMENTAL/SITE ASSESSMENT INFORMATION <br /> I, THE UNDERSIGNED OWNER AND/OR OPERATOR OF THE PROPERTY AND/OR FACILITY <br /> LOCATED AT 2201 Washington St. Stockton, Ca. 95201 <br /> Street Address) (City) <br /> HEREBY AUTHORIZE We ton Analytical. <br /> (Laboratory 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: Port of Stockton <br /> (If Applicable) <br /> OWNER/OPERATOR: Aldo Freggair° Operations Manager <br /> (Please Print) (Title) <br /> X <br /> (Signature) <br /> ADDRESS: 2201 Washington St. <br /> (Mailing Address) <br /> Stockton, Calif. 95201 <br /> (City) (State) (zip code) <br /> PHONE: 209 946-0256 <br /> DATE: <br /> 7/1/91 <br /> EH 23 041 (REV 2/8/91) wp Page 9 <br /> A Division of San Joaquin Conry Rath Cue Scrviccs 0 <br />