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84/ZYPR 26 '98 01:16PM Rt" STi R W2 -INC SEMCU P.3E 83 <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENYTRONMENTAL HEALTH DIVISION <br /> (209)468-3420 <br /> AUTHORIZATION TO MEASE <br /> ANALYTICAL RESULTS <br /> * <br /> GEOTECHNICAL DATA <br /> • ONMENTAL/SITE ASSESSMENT INFORMATION' <br /> I, THE UNDRIMONED OVVN AND/OR OPERATOR Olt THE PROPERTY AND/OR,FACILITY <br /> LOCATED AT '% <br /> (SBseet Addral) r is <br /> FJJMY AUTHORIZE <br /> TO RFIJASE ANY AND ALL ANALYTICAL MOPWATION TO SAN JOAQIIIN COt-JTY PUBLIC <br /> HL'kLTH SERVIMENVIRONMENTAL HEALTH DIVISION AS SOON-AS IT iS AVAILABLE AND AT THE SAME <br /> Mg IT LS PROVMED TO ms OR MY RLvpXjENTATrn. <br /> RUSINEX NAMIJ; c (meq le a tc,r= <br /> fll.IppttcabtRJ <br /> ® O . TOR: fH L Lonesl,...r <br /> (7 qlc <br /> s1 �1 (Dare; <br /> AD ox <br /> 'SAA CA <br /> (City} (Stare) clip Code). <br /> PHONE: {J/©� ' T <br /> EH 23 (O/111M Page 9 <br />