Laserfiche WebLink
SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> (209)468-3420 <br /> AUTHORIZATION 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 2526 W. Washington Street Stockton <br /> (Street Address) (city) . <br /> HEREBY AUTHORIZE _ u vr;,.,o T,,,, <br /> (Laboratory) <br /> TO RELEASE ANY AND ALL ANALYTICAL INFORMATION TO SAN JOAQUIN COUNTY PUBLIC <br /> HEALTH SERVICES-ENVIRONMENTAL HEALTH DIVISION AS SOON AS IT IS AVAILABLE AND AT THE SAME <br /> TIME IT IS PROVIDED TO ME OR MY REPRESENTATIVE. <br /> BUSINESS NAME: _POSDEF Power Company, L.P. <br /> (If Applicable) <br /> OWNER/OPERATOR: Ed Stockton Environmental Specialist <br /> (Please Prim) (title) <br /> (Owner/ ator Signature) ( ate) <br /> ADDRESS: 2526 W. Washington Street <br /> 'i (Mailing Address) <br /> i (City) (State) (Zip Code) <br /> PHONE: ( 209 ) 467-3838 extension 14 <br /> EH 23 046 (Revised 08/13/99) Page 9 <br />