Document YreQbR9d1owyBZyXxg5GdzLxN

MfiY-22-1995 14:16 a CHEMICAL MANUFACTURERS ASSOCIATION FAX Cover Sheet To: Onfl/l4tlaA Company: 1 *. Telephone#:___________________________ Fax Number. From: _ Hq.s bV\oM Chemical Manufacturers Association (202)887-1_laL Number of Pages (including cover sheet) t MidiSMMtt R & s i52820 MAY--22-1995 14=16 r". tutud/ PERMISSION TO RELEASE DEATH CERTIFICATES FOR AN EPIDEMIOLOGY STUDY State of Hawaii 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 I, 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. Alvin T. Onaka, Ph.D. State Registrar for Vita) Statistics Name and title of person authorized to grant this permission Signature of person authorized to grant, this permission May 5, 1995 Date R&S 152821 TOTAL P.002