Document G5GkezekZb9bKY9eEnRpgRKr4

JUL--14--1995 16:37 d-EMSTRR 2028874758 P.002 PERMISSION TO RELEASE DEATH CERTIFICATES FOR AN EPIDEMIOLOGY STUDY State of New Hampshire 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 hlorlde workers study described in the March 1, 1995 letter from Dr. HamniAh 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 f 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. Karen Grady> Acting State Registrar and Chief Name and title of person authorized to grant this permission ------------------- ^ _______________________________________ Signature of person authorized to grant this permission 'll i n 5 Date R&S146674 TOTAL P.002