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SE� ICESPUBL�'� HEALTH " <br /> SAN JOAQUIN COUNTY :< <br /> JOGI KHANNA M.D.,M.P.H. <br /> �� <br /> Health Officer eN <br /> P.O. Box 2009 • (1601 East tiazelton Avenue) • Stockton,Callfornis 95201 <br /> '� <br /> (209) 468.3400 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> (209) 468-3427 <br /> AUITIORIZATION TO RELEASE <br /> • ANALYTICAL RESULTS <br /> F ' GEOTECHNICAL DATA <br /> ENVIRONMENTAUSITE ASSESSMENT INFORMATION <br /> 1, THE UNDERSIGNED OWNER AND/OR OPERATOR OF THE PROPERTY AND/OR FACILITY <br /> LOCATED AT 4555 N. Pershing Avenue, Stockton, CA (City) <br /> (Street Address) <br /> }IEREBY AUTHORIZE (Laboratory or Consultant) <br /> TO RELEASE ANY AND ALL ANALYTICAL INFORMATION TO SAN 3OAQUIN COUNTY PUBLIC <br /> HEALTH SERVICESASSOON AS IT IS AVAILABLE AND AT THE SAME TIME IT IS PROVIDED <br /> TO ME OR MY REPRESENTATIVE. <br /> WIGGINS & ASSOCIATES, .INC. as MANAGING <br /> BUSINESS NAME: AGENT FOR BOETTCHER WESTERN PROPERTIES III <br /> ()f Applicable) <br /> OWNER/OPERATOR: DON PELIN — DIRECTOR OF PROPERTY MGMNT. <br /> (P se Print (Titre) <br /> 1LL � <br /> r <br /> (Signature) <br /> ADDRESS: $50 W. MARCH LANE, SUITE A <br /> ((Mailingg Address) <br /> S'1`OCKTON, CA 95207 <br /> (City) (State) (zip code) <br /> PHONE: 2�� 473—$996 <br /> DATE: /r <br /> EH 23 041 (REV 2/8/91) wP Page 9 <br /> A DIA510"nt San jo,quln Cnomy Health Circ Servlres � <br />