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} <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 14a1 Amina Lew,V1ca►r«. SERYING <br /> �►Arkla E.v.nfo'w, a.c . 1601 Eaat Halohon Avenuo, P.O. goo[ 2009 <br /> CIV o1Loa1 <br /> Stockton 3"ruin Cowntr <br /> Cod►Iman1.1 Calllornla 95201 UnlOWulftCounlr <br /> h+?�+ta MatA+wn <br /> city <br /> Oaf"L F6rw (209) 466-6181 � Iracalon <br /> • ., of MIanIKa <br /> John O.Maaf„M.O. rAr of Ripon <br /> Q«�+IL Kroh.m 4*0 xn.o-A.MA.84-P.M.D46io M.-Ah ofae« C1tr a Sloekl" <br /> Cllr of Tr.cy <br /> Joaquin County <br /> AUTHORIZATION TO RELEASE ANALYTICAL RESULTS. GEOTECHNICAL DATA AND <br /> SITE ASSESSMENT INFORMATION <br /> the undersigned owner and/or operator o <br /> located at <br /> author, 7-� f the propert and/or facilit; <br /> ���� � � <br /> hereby / � <br /> or,ize <br /> to release Jany and all analytical results + <br /> Assessment information to the San .roaquin •Localethnical data and s.it� <br /> ealth <br /> as it Is available and at the same time it is provided toSmeior ct as soon <br /> I representative , my <br /> 4wnerf Operator_'. <br /> nd1r• ��a Title: <br /> c c.,,ti <br /> r�llvne <br /> Date : / <br /> i <br /> i <br /> I` .I <br /> +1l <br /> 1 <br /> i <br /> EH 08 05 UGT 13 <br />