Laserfiche WebLink
SAN JOAWIN <br />COUNTY <br />Environmental Health Department <br />AUTHORIZATION TO RELEASE <br />* ANALYTICAL RESULTS <br />* GEOTECHNICAL DATA <br />'� ENVIRONMENTAL/SITE ASSESSMENT INFORMATION <br />I, THE UNDERSIGNED OWNER AND/OR OPERATOR OF THE PROPERTY AND/OR FACILITY LOCATED AT <br />STOCKTON UNIFIED SCHOOL DISTRICT (WEBER INSTITUTE) STOCKTON <br />(Street Address) (City) <br />HEREBY AUTHORIZE <br />MCCAMPBELL ANALYTICAL <br />(Laboratory) <br />TO RELEASE ANY AND ALL ANALYTICAL INFORMATION TO SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT AS SOON AS IT IS AVAILABLE AND AT THE <br />SAME TIME IT IS PROVIDED TO ME OR MY REPRESENTATIVE. <br />BUSINESS NAME: STOCKTON UNIFIED SCHOOL DISTRICT (WEBER INSTITUTE) <br />(IfApplicable) <br />STOCKTON UNIFIED SCHOOL DISTRICT <br />OWNER/OPERATOR: pl 11600 e F66100e' ( <br />(Please Print) (Title) <br />VIG�6fiBOAM <br />ADDREss: 1944 EL PINAL DRIVE <br />i <br />(Mailing Address) <br />STOCKTON CA 95205 <br />(City) (State) <br />PHONE: (209 � 933-7045 <br />80(10 <br />(Zip Code) <br />