Document 23YOdJ3LwgYae7wOmxnpaoRb
MAR-28-1995 12=10
2028874756
202 887 4756 P.002^002
PERMISSION TO RELEASE DEATH CERTIFICATES FOR AN EPIDEMIOLOGY STUDY
State of Michigan
This document is intended to grant permission to ENSR Health Sciences, Alameda, California, to release death certificates (and data derived from them) for subjects belonging to the industry-wide vinyl chloride workers study described in the March 1, 1995 letter from Dr. wanmnifh shah of the Chemical Manufacturers Association and consigned by Dr. Christian Seigneur of ENSR Health Sciences.
It is understood that ENSR Health Sciences will release such death certificates (and data derived from them) ONLY to a representative of Applied Epidemiology Incorporated, of Amherst, Massachusetts, who has signed the enclosed letter to maintain the confidentiality of the death certificates and data derived from them.
Name and title of person authorized to grant this permission
irized to grant this permission
Date
R&S 146670
TOTAL P.002