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UBLIJELTH SEKVI 'E� <br />PC <br />SAN JOAQUIN COUNTY <br />JOG( KHANNA AD.,M.P.H. <br />Heilch Officer <br />P.O. Box 2009 - (1.601 East Hazelton Avenue) - Scockton, California 952:01 <br />(209) 468-3400 <br />ENVIRONMENTAL HEALTH DIVISION <br />(209) 463-3427 <br />AUTHORIZATION TO RELEASE <br />* ANALYTICAL RESULTS <br />* GEOTECHNICAL DATA <br />ENVIRONMENTAL. SITE ASSESSNIENT WFORIMATION <br />k fl� <br />'ENVIRONMENTAL HEALTH <br />PERM ITISERVI CES <br />1, THE UNDERSIGNED OWNER AND/OR OPER.ATOR.OF THE PROPERTY AND/OR FACILITY <br />LOCATED AT ROUGH & READY ISLAND, STOCKTON <br />(Street Address) (city) <br />HEREBY AUTHORIZE PRC ENVIRONMENTAL, INC. <br />(Laboratory or Consultant) <br />TO RELEASE ANY AND ALL ANALYTICAL INFORMATION TO SAN JOAQUIN COUNTY PUBLIC <br />•ig;gq ir� 111 1, <br />11 1 1 1 1 w i I � IM � <br />TO LME OR MY REPRESENTATIVE. <br />BUSINESS NAME: NAVAL CMUN r.ATTnN qTATIQN STOCKTON <br />(If Applicable) <br />OWNER/OPERATOR: E. G. MONINGER, Jr COMANDING OFFICER <br />(Please Print) (Title) <br />(Sighature) <br />ADDRESS: NA31COMMSIA,-CODE 33 <br />(Mailing Address) <br />STOCKTONX CA 95203-5000 - <br />(City) (State) (zip code) <br />PHONE: ( 209 944-0400 <br />/,P AvON -a eg" I i <br />EH 23 041 (REV 2/8/91) wp Paue 9 <br />0 <br />A Division of San Joaquin Counry Health Care Services 0 <br />ri-I 1warju-thAq :1,,, r&41tmw <br />