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USAN JOAQUIN COUNTY PUBLIC;HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 1 (2(19) 46&3420 <br /> AUTHORIZATION TO RELEASE ' <br /> • ANALYTICAL RESULTS <br /> ' GEOTECHNICAL DATA <br /> ' ENVIRONMENTAL�SITE ASSESSMENT INFORMATION <br /> 1, THE UNDERSIGNED OWNER AND/OR OPERATOR OF THE PROPERTY AND/OR FACILITY <br /> LOCATED AT <br /> Street Address) (city) <br /> HEREBY AUTHORIZE Xce -I GS <br /> . F <br /> {Laboratory or Consultant) <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 TIME IT IS PROVIDED <br /> TO ME OR MY REPRESENTATIVE <br /> BUSINESS NAME: VALLEY WHOLESALE DRUG CO . INC . <br /> (If Applicable) <br /> OWNER/OPERATOR: LOUIS E SHONEF-F CEO <br /> (Ple a P (Title) <br /> hz <br /> Owner/Operator Sig ure) <br /> ADDRESS: 1401 W . PREM NT STREE <br /> (Mailing Address) <br /> (City) (State) (Zip Code) <br /> PHONE: 20, '466--0131 <br /> DATE: <br /> 5/9/94 <br /> EH 23 041 (Revised 7-10-92) Page 9 <br />