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s/18/2005 09:01 209463 END PAGE 07 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> (209)469-3420 <br /> AUTHORIZATION TO RELEASE <br /> ANALYTICAL RESULTS <br /> ' GEOTECHNICAL DATA <br /> ENVIRONMENTAL/SITE ASSESSMENT INFORMATION <br /> 1,THE UNDERSIONED OWNER AND/OR OPERATOR OF THE PROPERTY AND/OR FACILITY <br /> LOCATED AT <br /> (Surer Addrua) (CfGJ <br /> HEREBY AUTHORIZE <br /> abororarYJ <br /> TO RELEASE ANY AND ALL ANALYTICAL IN ORMATION TO SAN JOAQUIN COUNTY.ENVfRONMENTAL HEALTH <br /> DEPARTMENT AS SOON AS IT IS AVAILAI3 AND AT THE SAME <br /> TIME IT IS PROVIDED M OR MY REPRI3 ENTATIVE, <br /> B USINESS NAME: <br /> ( Ap !'c 5!e) <br /> OWNEIUOPERATOR: <br /> (Pleaoe irfn� <br /> Mile) <br /> (Owner/Opera) S'lenary.J (Date) <br /> ADDRESS: <br /> (Mallin .Address) <br /> (Ciry) ($rare) (Zfp Code) <br /> PHONE: <br /> FH 2J 046 (Rcviscd (/24/02) <br /> 6 ' <br />