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Ma; 15 2012 5:59PM I' LASERJET FAX <br />20` '4G-8099 P.1 <br />03/08/2011 09:30 L094640138 ENVIROJMENTAL HEALTH PAGE 07/09 <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />SAN JOAQYI IN COUNTY <br />Telephava, (209) 4618.3420 F='(209)468-3433 <br />A,UTHOR[ZATiON TO RELEASE <br />ANALYTICAL RESULTS <br />" OEO BCHNICAL DATA <br />0 GNYIR0NN(E.N1'AL/SIT1; ASSESSMENT INFORMATION <br />I, TNR (NDE WUNED OWNER ANWOA OPERATOR orTKP PROPSRTY AND/OR PACII.1T'Y LOCATRM AT <br />(Street <br />HERF3Y AUTHORIZE <br />v <br />ALL ANALYTICAL <br />HEA1, H DEPARTMENT A3 SOON A9 rT IS A A(ILAIILE AND ATOSAN TIIG SAMEQTIME ITISCOUNTY <br />D .) TOME OR MY <br />REPRESENTATIVE, <br />BUSINESS NAME: _ <br />77 A <br />—pp lla7b 10) <br />OWNER;— TZ.— <br />_ � (Plrnao P�•Inr} -• Y .'. (7Trle) •.. <br />w „ �—rbwn�r rlg,��rrW—..,.,(raera I � I <br />ADDRESS c- Lic <br />CJ 1t e rm k r�_ L -a n > <br />oy (%!y adc) <br />EH 23 046 (Revised d9n I/10) <br />