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v � <br /> $ 415 540 7496 AQUA RESOURCES 04/19/90 13: 30 P.05 <br /> JOGI KHANNA M.D.,M.P.H. 1 <br /> Health Officer ' <br /> P.O. Box 2009 . (1601 East Hazelton Avenue) . Stockton,California 95201 '.....�M <br /> (209) 468.3400 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> (209) 468-3420 <br /> AUIr"Cf R I Z AT X Ohl TO FUEL-EAFaI=- <br /> * ANALYTICAL 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 Sangui.netti Lane (see attached map) Stockton <br /> (STREET ADDRESS) (Cl TY) <br /> HEREBY AUTHORIZE Aqua Resources Inc. <br /> (LAPDRATQRY or CONSULTANT) <br /> TO RELEASE ANY AND ALL ANALYTICAL RESULTS, GEOTECHNICAL DATA AND/OR <br /> ENVIRONMENTAL/SITE ASSESSMENT INFORMATION TO SAN JOAQUIN COUNTY PUBLIC <br /> HEALTH SERVICES AS SOON AS IT IS AVAILABLE AND AT THE SAME TIME IT IS <br /> PROVIDED TO ME OR MY REPRESENTATIVE. <br /> BUSINESS NAMlri Barnett-Ran&e Corporation <br /> f!F ADPL I CAPLET <br /> OWNER/OPERATOR: Neal L. Wilbert Vice President <br /> z 7,11,4r <br /> ) !TITLE) <br /> ;SIGN TUREJ <br /> ADDRESS s PO Box 8189 <br /> emAILING ADDRESS) <br /> Stockton, CA 95208 <br /> (Cl TY) (STATE) (ZIP) <br /> PHONE t _Q09-209 ) 951-5140 <br /> DATE: <br /> April 19, 1990 <br /> EH 23 041 Revised 10/89 <br /> A Diritigp Of SQA jOfQUiI!Gsurtt�Flealrh�'ar•Grvirs � <br /> APR 19 ' 210 13 : 28 PAcyE . 005 <br />