Document 9J5RYLk7d57E0Z2a75kZ1n5q6

04/12/95 09:12 913 296 8075 CTR HL1H STATS @004/004 PERMISSION TO RELEASE DEATH CERTIFICATES FOR AN EPIDEMIOLOGY STUDY State of Kansas 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 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. --Di:._tQrnF.JL J?.hinips,,.nin?ctQr-and ^tata -Ragi-strap -- .......-- -- Name and 1 srized to grant this permission Signature c i to grant this permission Dare