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12/18/98 FRI 09:33 FAX 510609630) RUL DESIGN GROUP 44 RHL PETALUMA Q010 <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> (209)468-3420 <br /> AUTHORIZATION TO RELEASE <br /> *ANALY"TICAL RESULTS <br /> *GEOTECHNICAL DATA <br /> * ENVIRONMENTAL/SITE ASSESSMENT INFORMATION <br /> I, THE UNDERSIGNED OWNER AND/OR OPERATOR OF THE PROPERTY AND/OR FACILITY <br /> LOCATED AT L W. Clnarker Vjc., STOC,lkTo/J <br /> (Street Address) (City) <br /> HEREBY AUTHORIZE CA m�r►a r)vy i roo m erica 1 Ter-At i o I oge 5 <br /> (laboratory) <br /> TO RELEASE ANY AND ALL ANALYTICAL INFORMATION TO SAN JOAQUIN COUNTY PUBLIC <br /> HEALTH SERVICES-ENVIRONMENTAL HEALTH DIVISION AS SOON AS IT IS AVAILABLE AND AT THE SAME <br /> TIME IT IS PROVIDED TO ME OR MY REPRESENTATIVE. <br /> BUSINESS NAME: F_ Qu I L.onl ENTE,2FR.IS ES LLC_ <br /> (If Applicable) <br /> OWNER/OPERATOR: i.JRI✓TT 40\0 LAND D15TP-ICT F-1v !►NEEP, <br /> lease rint.) �� > <br /> qc z <br /> Owner/Operator Sig re) (Date) <br /> ADDRESS: '?. (3, $yx 15OSO <br /> (Mailing Address) <br /> MA9:7I �4F_Z. CA 94553 <br /> (City) (State) (Zip Code) <br /> PHONE: ( 12-5 -7 51- 19 9 5 <br /> EH 23 046 (Revised 10/19/98) Page 9 <br />