Document 9133a3oyMzEgL1QrNanzrZnxV
flpR-05-1995 16=00
2028874756
202 887 4756 P.001/002
TO COMPANY FAX
n73A^-fK5fN _f&JYs}0cQ ____ NO. PAGES :__L(cxduding cover)
_________________________ DATE
: f>n-(t3<^\%TC_
,.
FROM
:
--
FAX#
:7:H21________
DIRECT DIAL 2oT.~^7-/tfZ-
PD
cn
kPR-05-1995 16=00
2028874756
202 887 4756 P.002/002
PERMISSION TO RELEASE DEATH CERTIFICATES FOR AN EPIDEMIOLOGY STUDY
State of Delaware
Tills 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, 1S95 letter from Dr. Hasmukh Shah of the Chemical Manufacturers Association and co-signed by Dr. Christian Seigneur of ENSR Health Sciencesr
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.
Signature of person authorised to grant this permission
Mi* A
Date
/`rfr'
R&S 152869
TOTAL P.002