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06/24-'92 15:30 V916 366'013 SACRAXENTO C�j003;O0i 1 <br /> FROM 00/24/92 14 : 57 P . 1 <br /> SITE MITIGATION ASSMOI,LEDOMENT/RE0.IFST FOR SERVICES Foo <br /> SAN JOAWIN COUNTY PUBLIC HEALTH SERVICES/INVIROMIBTAL NSA-LTR DIVISION <br /> TITS 19fCRMAl10N <br /> TINEA LEAD A OCT <br /> ITE NAME AGENCY CONT CT <br /> PHONE <br /> ORES! / APO I <br /> 28b � �cSi c...rgNt <br /> ITV ip <br /> S XI Ck Yah/ �J$Z O h^ <br /> IILLIND J RESPONSIBLE PARTY INFORMATION <br /> ANS R. �./r:KN/6~ SGooP <br /> (LING ADORES$ <br /> ITT STATE IP <br /> NTAOT NAME L INCRE 207 95/x ' $Bac <br /> PROFERTT WNER/OPERATOR <br /> AME <br /> 0RE$S <br /> ITV TATE IP <br /> CLIENT INFORMATION IIF 01FFERENT FROM WNERJOPERATCA) <br /> TAME HONE <br /> OPEC$ <br /> ITT TATE IP <br /> AUTHO412AT10N TO RILIAS111ILLING ACKMOWLIDGSMSNT <br /> 1, THE UNDERSIGNED OWNER, OPERATOR, CLIENT, 61 AGENT Of $AMR, OF TNS PROPERTY LOCATED AT THE AlSVE SITE ADORES$ HEREBY <br /> AUTHORIZE TNS RELEASE OF ANY AND ALL ANALYTICAL RESULTS, GEOTECHNICAL DATA AND/OR ENVIRONMINtA SITE ASSESSMENT INFORMATION 10 <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES, ENVIRONMENTAL WEALTH OIVTSION AS SOON AS IT IS AVAIIA31.1 AND AT THE SAME TIME IT lS <br /> PROVIDED TO ME 01 NY REPRESENTATIVI. <br /> ADDITIONALLY, I, TWE UNDERSIGNED MIA, OPERATOR, CLIENT, OR AGENT Of SAME, ACKMOULIDOE„THAT Alt $Ito AND/OR PROJECT SPECIFIC <br /> PNS/ERD HOURLY CHARGES ASSOCIATED WITH THIS ACTIVITY WILL BE BILLED TO THE PARTY IDENTIFIED ASCYE AS THE "RESPONSIBLE PARTY". <br /> APPLICANT'S We, TITLE, SIONATURE/OATI <br /> ANE BN,eN/E <br /> E4 OCR , nc5/dh7v% SR <br /> rONATUR! �Ccl13C nrFr�- Jz Af;'-our ,�„� ATE <br /> PANT TITLE <br /> PACE ONE OF TWO <br /> E9.007(tV)Tz/9DSIlfRM12 • i • <br /> Ex 29 01 <br /> N <br />