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Oct, 6, 2008)v 9: 08AM rAx Advanced GeoEnvironmental No. 3247 P. 5/o25 <br /> 0 0 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY <br /> Talophono? 2420 riwme (200) 465 3,133 <br /> AUTHORIZATION TO RELEASE <br /> *ANALYTICAL k2SUD'S <br /> *GEOTECHNICAL DATA <br /> iJIIL UNDEIRSIGNED OWNER ANDiOR 0112-RAi-OR OF THE PlZ0--,l2RfYA*ND/(.),",,,f,ACILi <br /> LOCATED AT <br /> (City) <br /> ERF3Y <br /> MM7L z <br /> (Laboratory) <br /> TO RELBA,92 ANYiQ4D ALL ANAL17ICAL INFORMA:rroirro sj1.N J(')AQUINi COUNT?ENVlhQ*N-lALNT'ALkfEALl'H <br /> DVAUMiNT AS SOON AS IT IS AVA!LABLb AND ATTHESAME <br /> HNIE ITIS <br /> (#Applicabk) <br /> V <br /> V <br /> !Pease print) (Tilde) <br /> (Owner/Operator Siguatm <br /> ADDRES <br /> (mailing Address) <br /> ................ <br /> [:1123046 (Revisect8!3JC�7) <br /> 4 <br />