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r., ol <br /> AUTHORIZATION TO RELEASE <br /> ANALYTICAL RESULTS <br /> * GEOTECHNICAL DATA <br /> * ENVIRONMENTAL / SITE ASSESSMENT INFORMATION <br /> 11 T •11E ITNDERSIGNED OWNER ANDIOR OPERATOR OF 41 .1111 PR01"ERTY ANWOR FAC.' 11 . 10IN LOCATED Al <br /> 2908 West Benjamin Holt Dr. Stockton <br /> (Street Address) <br /> HEREBY AUTHORIZE <br /> Advanced Geo <br /> to 4i% . / „1 <br /> , .dop - - (Laboratory) <br /> . c <br /> TO RELEASE ANY AND ALL ANALYTICAL INFORMATION TO SAN JOAQUIN COUNTY LNVIRONMgo <br /> ENTt1L <br /> HEALTH DEPAR'T'MENT AS SOON AS IT IS AVAILABLE AND AT THE SAME TIME IT 1S PROVID D TO ME OR <br /> MY REPRESENTATIVE. <br /> BUSINESS NAME : <br /> Wight Holdings Inc <br /> (If Applicable) <br /> owNx: Lawernce Wight Owner '. . <br /> �."dd`d"d"p"do po Elm dodo <br /> (Please Print) (Title) <br /> X-doz iod L I d. <br /> (Owner Signature) (Date) <br /> t�DDREISS ' <br /> 2908 W. t3enjain Holt Dr . <br /> (Mailing Address) <br /> Stockton CA 95205 <br /> (City) (State) (Zip Code) <br /> PHONE : <br /> . ( 209 ) 993 -7825 -- — -- - 4 <br /> is <br /> ; I . <br /> 4 >.. <br /> 1 <br />