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BOARD OF TRUSTEES SAN OAQUIN LOCAL HEALTH DIACT - SERVING <br /> James Culbertson, Pres. City of Lodi <br /> Pytricla E. Vannuccl, Sec'y. 1601 East Hazelton Avenue, P. 0. Box 2009 San Joaquin County <br /> Anthonette Van Spronsen City of Escalon <br /> Earl Plmentel Stockton, California 95201 city of Manteca <br /> Fern Bupbee 209/466-6781 City RiPon <br /> Daniel L. Flores City of Stt ockton <br /> John D. Mast, M.D. City of Tracy <br /> William J. Wade Jopl Khanna, M.D., M.P.H., District Health Officer San Joaquin County <br /> Mary Anna Love San Joaquin County <br /> AUTHORIZATION TO RELEASE ANALYTICAL RESULTS, GEOTECHNICAL DATA AND <br /> SITE ASSESSMENT INFORMATION <br /> I , the undersigned owner and/or operator of the property and/or facility <br /> located at 1000 N UnIon Strept- , Sto,14top� Ga 95205 <br /> hereby authorize Canonie Engineers Inc. <br /> to release any and all analytical results, geotechnical data and site <br /> assessment information to the San Joaquin Local Health District as soon <br /> as it is available and at the same time it is provided to me or my <br /> representative. <br /> Owner/Operator: Jerry oy ociates e: President—Ti /�/•J/�/ <br /> Address 1000/1030 N. Union St. Phone: 426-1481 <br /> Stockton, Ca 95205 <br /> Date: 3-12-86 <br /> EH 08 05 <br />