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SANvj0 A Q U IN Env . . inmental Health Department <br /> COUNTY - -- - - - <br /> AUTHORIZATION TO RELEASE <br /> * ANALYTICAL RESULTS RECEIVED <br /> * GEOTECHNICAL DATA to o 2018 <br /> * ENVIRONMENTAL / SITE ASSESSMENT INFORMATION - WIRUNMENTAL HEALTH <br /> PFRMIT/SERVICES <br /> I. THE UNDERSIGNED OWNER AND/OR OPERATOROFTHE PROPERTY <br /> �AND/OR FACILITY LOCATED AT <br /> (Street Address) (City) <br /> HEREBY AUTHORIZE <br /> (Laboratory) <br /> TO RELEASE ANY AND ALL ANALYTICAL INFORMATION TO SAN JOAQUIN COUNTY ENVIRONMENTAL <br /> HEALTH DEPARTMENT AS SOON AS IT IS AVAILABLE AND AT THE SAME TIME IT IS PROVIDED TO ME <br /> MY REPRESENTATIVE. <br /> BUSINESS NAME : <br /> (If Applicable) <br /> OWNER: <br /> (Please Print) (Title) <br /> (Owner Signature) (Date) <br /> ADDRESS : <br /> (Mailing Address) <br /> I <br /> (Cit) ) (State) (Zip Code) <br /> PHONE : <br /> Gof6 <br />