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SITE MITICATIOH ACKNOWLEDGMENT/REWEST FOR CERVICES FOWL <br /> SAN JOAWIN CCUNTY PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVISION i <br /> SITE INFCar4TIQW <br /> TKIR LW AGENCY <br /> ITE )'AHE ACEACY CONTACT <br /> Manteca Buyinesr. Center <br /> PHONE <br /> DRESS APN 0 <br /> 415 \. Main Street <br /> f <br /> IP <br /> ITT <br /> 1,a:jtecd, C, JL ornia <br /> 61CLlNG / R£SPCHSIBLE PARTY INFORMATION <br /> uaE aTEC Environmental Consul t-lilts <br /> ILINC ADDRESS 9719 Lir.coJ.n Village Drice , Suite 501 <br /> iTY Sacrau::rto TATE CA IP 958 , <br /> TACT NAME Nei! Zickefoose hCME (916) .364--8781 } <br /> I <br /> 1 <br /> PROPERTY OWWER/CPERATCR <br /> E Resolution Trust Corporation as Receiver of HONE i <br /> DRESS Executive Banc Savings Association, F.A. <br /> ttT TATE IP <br /> CLIENT IHFORMATTCH (1F DIFFERENT FRCm OWNER/OPERATOR) <br /> u+E FIsery Joint Venture, Inc. HONE 1 (210)491-7005 <br /> DRESS 121 Interpark Suite 1101A <br /> tTYSan Antonio TALE Texas aP 8216 <br /> t <br /> AUTHORIZATION TO RELEASE/BILLING ACKNOWLEDGEMENT <br /> i <br /> 1, THE UN0ZRSIGNED WNER, CPERATOR, CLIENT, OR AGENT OF SAME, OF THE PROPERTY LOCATED AT THE ABOVE SITE ADDRESS HEREBY <br /> AUTHORIZE THE RELEASE OF ANY AND ALL ANALYTICAL RESULTS, GEOTECHNICAL DATA AND/OR ENVIRONMENTAL/SITE ASSESSMENT 1NFORMTICH TO <br /> SAN JOAGUIN z=NTY PUBLIC. HEALTH SERVICES, ENVIRONMENTAL HEALTH DIVISION AS SOON AS IT IS AVAILABLE AND AT THE SAME TIME IT 14 <br /> PRCVIOED TO .".E OR MY REPPESEHTATIVE. <br /> ADDITIONALLY, 1, THE UNDERSICNED OUNER, CPERATCR, CLIENT,.OR AGENT OF SAYE, ACKXQVLZDGE.THAT ALL SITE AND/OR PROJECT SPECIFIC <br /> PHS/---HD HOURLY CHARGES ASSOCIATED ;LITH THIS ACTIVITY WILL BE BILLED IO THE PARTY 10ENT1FIE0 A80VE AS THE "RESPONSIBLE PARTY". l! <br /> �\ I <br /> APPLICA.HT'S WAY£, TITLE, SIGNATURE/OATS <br /> 1 <br /> ae LFIsery Joint Venture, Inc. sa 74-2336311 j <br /> tCNA T�nE Patrick J. Kittell <br /> Are 11/04/92 <br /> OMPANYFIsery Jpint Venture., n . ItLE LAM De artment Head <br /> PACE ONE *fi D <br /> f <br /> i <br /> 19•C07(1V)12/1�C6ILFRM12 <br /> rH 29 0; <br />