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BOARD OF TRUSTEES SAN JOAQUIN LOCAL HEALTH DISTRICT IiRVINO <br /> City of Lodi <br /> James Culbertson, Free. San Joaquin County <br /> Patricia E. Vannuccl, Seery. 1601 East Hazelton Avenue, P. O. Box 2009 city of Escalon <br /> Anthonette Van Spronserl City of Manteca <br /> Earl Plmentel Stockton, California 95201 City of Ripon <br /> Fern Bugbee 209/466-6781 City of Stockton <br /> Daniel L. Flores City of Tracy <br /> John D. Mast, M.O. <br /> William J. Wade Jopi Khanna, M.D., M.P.H., Dlalrlot Health 011lcer San Joaquin County <br /> San Joaquin County <br /> Mary Anna Love <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 Fire De t. CA <br /> ' l <br /> hereby authorize .S�1I rM C `�l� W/ Q �' okpu D <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: City of Tracy Title: Director of Public Works <br /> Address 520 Tracy Blvd Tracy CA -Phone:Phone: (209) 836-4420 <br /> Date: November 1, 1988 <br /> it <br /> EH 08 05 <br />