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Anrhunall• Von .Spioaaan 1()()1 l:as1 rl.ueltun Avcnuo. N. Q. [�<f� 7t1U9 <br /> � ri CNS of l udr <br /> (•rl !'Imenls!' _ ! :an 1oaQufri'Gt,unly <br /> Fa/n tiupb�� h Stockton. C311(o(nia 95201 Gf�rol:Eat�ton <br /> ,Daniel L. Flo/es20t�/46&�781 Cllrol'awinl.ca, <br /> 'John D. Mafl, M D. ! Cltrolnlpon <br /> Wlfllam J. Wadi Clty of Slochton <br /> lopl Khannra. M.D.. M.P•".. ofalrtct 110411h Officer �:Cat of Ilac <br /> Mary Anna Love � y <br /> San Joaquin County <br /> Sin JoaQuln County <br /> r AUTHORIZATION TO RELEASE ANALYTICAL RESULTS. GEOTECHNICAL DATA <br /> AND <br /> { SITE ASSESSMENT INFORMATION <br /> I, the undersigned owner and/or operator, of the Property p y and/orfacility � <br /> located at ZA7 L , <br /> I' <br /> hereby authorize <br /> to release any and all analytical results, geotechnical data and -site <br /> assessment information to the San Joaquin <br /> Local <br /> as it is available and at the same ti•ane it is <br /> Health District as soon • <br /> provided to me or my h <br /> representative. <br /> r: <br /> q <br /> Owner/Opera tor: <br /> A <br /> Title: , <br /> Address — <br /> o-d S. C Phone: <br /> SZ b <br /> Date: <br /> F <br /> II IL <br /> n <br /> IN 08 05 UGT 13 <br />