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BOARD OF TRUSTEES SAN JOAQUIN LOCAL HEALTH DISTRICT SERVING <br /> James Cu;Oertaon, Pres. City of Lodl <br /> Patricia E. Vannuccl, Secy San Joaquin County <br /> Anthonette Van Spronsen 1601 East Hazellon Avenue, P. O. Box 2009 <br /> City of Eacelon <br /> Earl Pimentel Stockton, Calltornia 95201 City of Manteca <br /> Fern Bupoee 209/466-6781 City of Ripon <br /> Daniel L. Flores City of Stockton <br /> John D. Mast. M.D. City of Tracy <br /> William J. Wade Jopi Khanna, M.D., M.P.H., Dletrlcl Health Officer Sen Joaquin County <br /> Mary Anns 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 1634 E. Channel , Stockton , CA <br /> hereby authorize Canonie Environmental , Stockton, CA <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 /> N.A. Gotelli Trucking Company <br /> Owner/Operator: Title: <br /> Address 1634 E. Channel Phone: 465/0526 <br /> Stockton, CA <br /> Date: <br /> EH 08 05 UGT 13 <br />