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aOAAD or 1AUSIEI.SSAN ''AOUIN LOCAL HEALTH 015 i StavtNo, _ <br /> J:ma. Cwt en son, P..L Clty of Lodi <br /> Particle E. v•nnopcl. s•c'y• � 1601 East Hatlalon Avenue;P. O. Bolt 2009 <br /> "� San Joaquin Count. <br /> Anlhonalta-van Spronian _ Clly of Eacalon. <br /> (a,t rlmanial - - Slocklon, California 95201 _ City of Manteca <br /> .,n ar0040 209/466-6781 City t cktRipo <br /> F <br /> - - City Of Stockton <br /> Daniel L. Florae - City olTracy <br /> John 0. Mut• M.O. District Health 011kar San Joaquin County <br /> William J. Wade Jo01 Khanna, M.O., M.P.H., - <br /> San Joaquin County <br /> Mary Anna lova <br /> AUTHORIZATION TO RELEASE ANALYTICAL RESULTS, GEOTECHNICAL DATA AND <br /> SITE ASSESSMENT INFORMATION <br /> 1 , the undersigned owner and/or operator of the property and/or facility /n�- <br /> located at 19-76, EnS`F C \ t2Tc t I�iJ G1<7 0 � . Vc} <br /> hereby authorize Oak-, P . WA �C� <br /> to release any and all analytical results, geotechnical data and site <br /> iissessment information to the San Joaquin Local Health District as soon <br /> as it is available and at the salve time it is provided to me or my <br /> representative. <br /> Owner/Operator: /, � �� f//r�/ �rC Title: �i � <br /> Address /ci76 B�Te` /�/a�C_—Phone: Ae-? - 9V1?'-317/ <br /> /Sr41f/To n <br /> it OB 0; ()GI 13 , , <br />