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VA"I JOAQ1111; CGII'ATf PMAC AEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />(209) 468-3420 <br />* ANALYTICAL RESULTS <br />*]11:N' , I <br />LOCATED AT f:-- N 5 - <br />I 'R k -Z E L70)\sS' C) F-0 (,\ I C, A 5 C:4 <br />(Street Address) (City) <br />HEREBY AUTHORIZE L L A N) C <br />C <br />(Laboratory) <br />TO RELEASE ANY AND ALL ANALYTICAL INFORMATION TO SAN JOAQUIN COUNTY PUBLIC <br />!a• ••I I <br />I WIT. MIT M <br />oyourl <br />BUSINESS NAME: 5KNI L6L�W�L� L (), LE S-2 U 2 Pt, <br />(If Applicable) ' I <br />OWNER/OPERATOR: iL N L P', L <br />AM -7 - <br />ADDRESS: fj L W -Jn r--, n i 11 Z - <br />(Mailing Address)' <br />� 0 LL �5Zo5 <br />(City) (State) (Zip Code) <br />PHONE: ( 2- 0 -63 ) 4 (, (� - 7j C) -a 2 - <br />EH 23 046 (Revised 9/11/96) Page 9 <br />