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SWOAQUIN COUNTY PUBLIC HEALT RVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> (209)468-3420 <br /> AUTHORIZATION TO RELEASE <br /> *ANALYTICAL RESULTS <br /> *GEOTECHNICAL DATA <br /> *ENVIRONMENTAL/SITE ASSESSMENT INFORMATION <br /> I,THE UNDERSIGNED OWNER AND/OR OPERATOR OF THE PROPERTY AND/OR FACILITY <br /> LOCATED AT__ am!Hollow Road,Tracy,,California <br /> (Street Address) (City) <br /> HEREBYAUTHORIZE__ California Laboratory Services <br /> (Laboratory or Consultant) <br /> TO RELEASE ANY AND ALL ANALYTICAL INFORMATION TO SAN JOAQUIN COUNTY PUBLIC HEALTH <br /> SERVICES AS SOON AS IT IS AVAILABLE AND AT THE SAME TIME IT IS PROVIDED TO ME OR MY <br /> REPRESENTATIVE FOR CLOSURE OF UNDERGROUND STORAGE TANK 829-D1U1. <br /> BUSINESS NAME: Lawrence Livermore National Laboratory <br /> (If Applicable) <br /> OPERATOR: Susi_Iackson, Division Leader, Operations and Regulatory Affairs <br /> (Pleas Print) (Title) <br /> (Operator Signature) t <br /> ADDRESS: 7000 East Ave. P.O.Box 808 <br /> (Mailing Address) <br /> Livermore CA 94550 <br /> (City) (State) (Zip Code) <br /> PHONE: (510)423-6577 <br /> DATE: <br /> EH 23 041 (Revised 7/10/92) <br /> CLOSURE PLAN: <br />