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10/17/2000 09:06 2094603438 FIFTH FWOR <br /> PAGE gg <br /> SAN IOAQVIN COUNTY pUBLIC HEALTH SL12yICES <br /> ENVIRONMENTAL HEALTH DIVL90N <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 MOPERTY AND/OR FACILITY <br /> LOCATED AT 6425 PACIFIC AVENUE, STOCKTON, CA/� <br /> (Street Addr=) (City) <br /> NEREBYAUTHORIZG. _MrCAMPae1 I A&lA1 VTir'AI <br /> (L&baramh') <br /> TO RELEASE ANY AND ALL ANALYTICAL.INFORMATION TO SAN IOAQUIN COUNTY UBLIC <br /> HEALTH SERVICES-ENVIRONMENTAL HEALTH DIVISION AS SOON AS IT IS AV LE AND AT THE SAME <br /> TIME 17 IS PROVIDED TO ME OR MY R6PRESENTATIVE- <br /> BUSINESS NAME: MA; CENTER LLQ <br /> ( AppU=M) <br /> OWNER/OPERATOR: MARK YFKTAr OWNER <br /> (Pteure P4fivq _ � Clutr) <br /> (O.meoclOperttod-� )j (Dare) <br /> ADDRESS; <br /> DANVILLE CA 9526 <br /> (CYry) {Stove) rap Code) <br /> PHONE: <br /> EH 23 996 (Reroiwed 08113/99) Page 9 <br /> ass- zss- c3 0 q <br /> 60[j 3NI DIVED V M ZZ6Z C69 LOL TVd 99:9T 00/CZ/OT <br />