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Oct 25 01 11 : 19a TAIT Environmental SSstem (916) 858-1011 p• b <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> (209)468-3420 <br /> AUTHORIZATION TO RELEASE <br /> •ANALYTICAL RESULTS <br /> -GEOTECHNICAL DATA <br /> • ENVIRONMENTAUSITE ASSESSMENT INFORMATION <br /> I,THE UNDERSIGNED OWNER AND/OR OPERATOR OF THE PROPERTY AND/OR FACILITY <br /> LOCATED AT z y w EI., S�r'r 4 W' <br /> HEREBY AUTHORIZE M c-&-b d An-1-.1 ..I (a/3') <br /> TO RELEASE ANY AND ALL ANALYTICAL INFORMATION TO SAN JOAQUIN COUNTY PUBLIC <br /> HEALTH SERVICES-ENVIRONMENTAL HEALTH DIVISION AS SOON AS IT IS AVAILABLE AND AT THE <br /> SAME <br /> TIME IT 1S PROVIDED TO ME OR MY REPRESENTATIVE, <br /> BUSINESS NAME: PAC{P.C '19 It <br /> (If Applicable) <br /> OWNER/OPERATOR: S�a� �eodc6�: Sc.tiior rGnvirorar+`4,��q� na C( <br /> (Please Print) �ttel <br /> —4L <br /> er/Operator Slgnatare) (bate) <br /> ADDRESS: 7.600 CgM--L" 2r%Mam jjw%% -AF000T <br /> (Malling Rddress) <br /> sd"- <br /> (001) (Stare) Op Cade) <br /> PHONE: ( <br /> EH 23 046 (Revised 08/13/99) Page 9 <br /> 10/25/01 THU 10:14 [T%/R% NO 87481 CJ006 <br />