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ENVIRONMENTAL HEALTH DEPARTMENT <br />SAN JOAQUIN COUNTY <br />Telephone: (209) I68-3120 Fax: (209)X168-3433 <br />AUTHORIZATION TO RELEASE <br />'ANALYTICAL RESULTS <br />• GEOTECHNICAL DATA <br />• ENVIRONMIENTAL,SITE ASSESSMENT INFORMATION <br />1, THE UNDERSIGNED OWNER AND OR OPERATOR OF THE PROPERTY AND.OR FACILITY <br />LOCATED AT 3 East Eleventh Street Tracy. CA <br />I Street .,Iddressi (CitrJ <br />HEREBY <br />AUTHORIZE Precision Enviro-Tech, Stockton, California <br />(laboratory) <br />TO RELEASE ANY AND ALL ANALYTICAL INFORMATION TO SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT AS SOON AS IT IS AVAILABLE AND AT THE SAME <br />TIME IT IS PROVIDED TO ME OR MY REPRESENTATIVE. <br />BUSINESS NAME: <br />Levand - Bright Properb/ <br />(lf Apphruhle) <br />ON%rNERrOPE•RATOR: <br />Louis Levand Trust. Et_ al_ <br />Paula Levand. Trustee <br />(PI ru r Prna/ <br />/U» nci•lOperrtor ar;,rurru•c•! <br />(purr! <br />ADDRESS. <br />24692 Sand Wedge Lane <br />1,11utlins; Addrras) <br />Valencia CA <br />91355 <br />(Cin) !Sure) <br />(Zip Ci,de) <br />PHONE:( <br />. 661 - . 1 908-2133 <br />EI -123D-16 (Revised 81.,'l 1) <br />is <br />SAN JOAQUIN CAUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />SERVICE. REQUEST <br />Type of Business or PropertyI FACILITY IDR I SERVICE REQUEST 9 <br />Vacant <br />OWNER/ OPERATOR <br />Louis Levand Trust, Et. al., clo Ms. Paula Levand CtieeK it fSiLuma Aoua_ss <br />