Document 65Q0nrOKeyoY7oo7z7DjZDqd
APR-27-1995 10:23
CHEMSTAR 2028875427
202 887 5427 P.003/003
PERMISSION TO RELEASE DEATH CERTIFICATES FOR AN EPIDEMIOLOGY STUDY
State of Idaho
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, 1993 letter from Dr, Hssnmkh 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 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
Siw _
orized to grant this permission
Date
R&S146664
TOTAL P.003