Laserfiche WebLink
SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />(209) 468-3420 <br />AUTHORIZATION TO RELEASE <br />* ANALYTICAL RESULTS <br />GEOTEcH TICAL DATA <br />* El"RIRONMENNTA.L/SITEASSESSMENTLTFORIIZATION <br />For 871-D1U2 and 882-DIU1 <br />1, THE UNDERSIGNED OWNER ,AND/OR OPERATOR OF THE PROPERTY AND/OR FACILITY <br />LOCATED AT <br />Corral Hollow Road (Southwest of Tracy), California <br />HEREBY AUTTiORTZE (Street Address) (City) <br />BC Laboratories Inc. <br />(Laboratory) <br />TO RELEASE ANN AND ALL ANALYTICAL INFORMATION TO SAN JOAQUIN COUNTY ENVIRONMENTAL <br />DEPARTMENT AS SOON AS IT IS AVAILABLE AND AT THE HEALTH <br />SAME TIME IT IS PROVIDED TO NIB OR A4Y <br />REPRESENTATIVE. <br />BUSINESS NAME: Lawrence Livermore National Laboratory <br />(TfApplicande) ----- <br />OWNER/OPERA,TOR: C. Susi Jackson Ox -mer <br />(Please Pint) <br />(Title) <br />%jw-ucrJvperator signature) (Date) <br />ADDRESS: 7000 East Avenue, L-633 (P.O. Box 808, L-633) <br />(Wailirig Address) <br />Livermore CA 94550 <br />(yn') (State) (Zip Code) <br />PHONE: 925_) 423-6577 <br />E.H 23 046 (Rcviscd 3/15!02) Page 9 <br />