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PUBLIC HEALTH SERVICES <br /> SAN JOAQUIN COUNTY <br /> r.' <br /> s <br /> ' JOGI KHANNA M.D.,M.P.H. 1 <br /> Hnhh Officer <br /> P.O. Box 2009 . (1601 East Hazelton Avenue) . Stockton,California 95201 <br /> (209) 468.3400 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> (209) 468-3420 <br /> A U T H O R I Z A T 10 r4 T O R E L E A S E <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 150 N. Sinclair Avenue Stockton, CA 95205 <br /> (STREET ADDRESS) (CITY) <br /> HEREBY AUTHORIZE Black & Veatch Kansas City, MO <br /> _ (LABORATORY or CONSULTANT) <br /> TO RELEASE ANY AND ALL ANALYTICAL RESULTS, GEOTECHNICAL DATA AND/OR <br /> ENVIRONMENTAL/SITE ASSESSMENT INFORMATION TO SAN JOAQUIN COUNTY PUBLIC <br /> HEALTH SERVICES AS SOON AS IT IS AVAILABLE AND AT THE SAME TIME IT IS <br /> PROVIDED TO ME OR MY REPRESENTATIVE. <br /> BUSINESS NAME: MARLEY COOLING TOWER COMPANY <br /> (IF APPLICABLE) <br /> OWNER/OPERATOR: DAVID W. BATES CHIEF PRODUCTION ENGINEER <br /> (PLEASE PRINT) (TITLE) <br /> l/ <br /> (SIGNATURE) <br /> ADDRESS: 5800 FOXRIDGE DRIVE <br /> (NAILING ADDRESS) <br /> MISSION KS 66202 <br /> (CITY) (STATE) (ZIP) <br /> PHONE: ( 913 ) 362-1818 <br /> DATE: March 28, 1991 <br /> EH 23 041 Revised 10/89 <br /> A Division of San Joaquin CounryHealth CoreServicev 11"'% <br />