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10/17/2000 09:00 209468? i FIFTH FLOOR PAGE 09 <br /> 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 /> ' ENVIRONNIENTAIdSITE ASSESSMENT INFORMATION <br /> I. THE UNDERSIGNED OWNER AND/OR OPERATOR OF THE PROPERTY AND/OR FACILITY <br /> LOCATED AT 6425 PACIFIC AVENUE, STOCKTON, CA/. <br /> (Sneer Address) (piy) <br /> HEREBYAUTHORIZE Mf rAmpgpt I ANAI VTT (,GI <br /> (laborwory) <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: MAS CENTER LLC <br /> ( Appticabk) <br /> OWNER/OPERATOR: M A R K Y E K T A OWNER <br /> (Please Prtnr) (rtJe) <br /> (Owner/Operator Signature) (Dare) <br /> ADDRESS: p p g n y -2,22p <br /> (Mailing Address) <br /> DANVILLE CA 94526 <br /> (City) (fie) PP Cade) <br /> PHONE: (9_) 830-3444 <br /> EH 23 046 (Revised 08113199) Page 9 <br /> 91S- z8f- 03 , ,/ <br />