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TEL N0:4'1SS894809 <br /> TahJ—Gt3—'90 1 c ID:SHELL OIL <br /> CO <br /> NCORD u r p <br /> ^�'. ' Y SAN JOAOUIN LOCAL HEALT&ISTRICT Saav <br /> Jams CulbNuon,pea. CRY of <br /> Mety Ann,t aw,WW hM, 101 Earl Hazelton Avenue, P.O. 86K 2003 8•n JwaWn Co <br /> PoldwoILYfnavocl, `"'y, Uri JoKvinCol <br /> Tanury Joyce Stockton, California 08201 duty N aw <br /> too IkWitl Chy gf Mani <br /> WgMisa M.e,wn (203) 466.8781 Ohl of at. <br /> DeoW L Mw" city yf Steel, <br /> Jahn 0,Mail,M.D. Jogf Khu„u,14.0„M.RH„OHMot Haim wk" K, Chy of Tf <br /> ani,S.KNham Sl,n Ja,pvfn 1iw <br /> AUTHORIZATION TO RELVASt ANALYTICAL RESULTS, GROTECHNICAL DATA AND <br /> SITE ASSESSMENT INFORMATION <br /> If the undersigned owner and/or operator of the property and/or facility <br /> located at per/ /fir 'hs.;n. /OW ,, /V1 If <br /> hereby authorize .Q�ki.� _ .vs�+r �r✓,�.v �,.,�„l <br /> to release any and all analytical results, geotechnical data and Site <br /> assessment information to the San Joaquin Local Health District de goon <br /> as it is availapla and at- the Same time it is provided to me or my <br /> representative. <br /> 5lz 1a1��T <br /> f Owner/operator: om' Title; / <br /> Address Z p h o - " <br /> Darool 5 %O <br /> EH 23 041 3/86 <br /> Ell r/ <br />