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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> (209) 468-3420 <br /> AU'T'HORIZATION TO RELEASE <br /> • ANALYTICAL RESULTS <br /> • GEOTECHNICAL DATA <br /> • ENV'RONMENTALVSTTE ASSESSMENT INFORMATION <br /> I, THE UNDERSIGNED OWNER AND/OR OPERATOR OF THE PROPERTY AND/OR FACILITY <br /> LOCATED AT <br /> Street Address) (cuY) <br /> HEREBY AUTHORIZE <br /> (Laboratory or <br /> TO RELEASE ANY AND ALL ANALYTICALINFORMATION�Tp AN 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 S H O N E F F C E O <br /> (P1 a t) �r (7i11e) <br /> Ow er/Operator Sig ure) <br /> (. d. Tnr[<TnM, CA 95203 <br /> ADDRESS. 1401 W. FREmnNT STREE <br /> (Mailing Address) <br /> (Cita') (State) (Zip Code) <br /> PHONE: 2( 09 1 466-0131 <br /> DATE. <br /> 5/9/94 <br /> EH 23 041 (Revised 7-10-92) Page 9 <br />