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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> (2W)46&3420 <br /> AUTHORIZATION TO RELEASE <br /> • ANALYTICAL RESULTS <br /> • OEOTECHNICAL DATA <br /> • ENVIRONMENTAL/5ITE ASSESSMENT INFORMATION <br /> I, THE UNDERSIGNED OWNER AND/OR OPERATOR OF THE PROPERTY AND/OR FACIIJ Y <br /> LOCATED AT 1�5 � . (F -; -y o� ���a, S-�-o�k-E o�c C4�, 5z os <br /> HEREBY AUTHORIZE 'C' f <br /> (Laio+rtor7 ar Ca�wfl4ut) <br /> TO RELEASE ANY AND ALL ANALYTICAL INFORMATION TO SAN JOAQUIN COUNTY PUBLIC <br /> HEALTH SERVICES AS SOON AS IT IS AVAILABLE AND AT THE SAME TDAE IT IS PROVIDED <br /> TO ME OR MY REPRESENTATIVE. <br /> BUSINESS NAME: <br /> (Il abk) <br /> OWNE?t/OPERATOR: <br /> Roger D. Gamble <br /> aid PtrA!) (719ls) Mgr. Engineering/Construction <br /> �ffslt0!$1�IWC) <br /> ADDRESS; 525 West Third Street <br /> (Maaln`Adtt) <br /> Hanford CA 93230 <br /> (&am) (ZP Cade) <br /> PHONE: ( 209 ) 582-0241 <br /> DATE: <br /> EH 23 041 (Revised 7.1x92) Page 9 <br />