Document 5bJKLjG07a2vw5QgLqrjaO2gJ
MAR-23-1995 11:33
CHEMSTAR 2028875427
202 887 5427 P.005
PERMISSION TO RELEASE DEATH CERTIFICATES FOR AN EPIDEMIOLOGY STUDY
State of Mississippi
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. Hasmukh Shah of the Chemical Manufacturers Association and co-signed 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 representativ 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
Signature of person authorized to grant this permission
e3-^o-fs
Date
R&S 146671