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tVAw ur Int SIEEr <br />Jsnaa cut-ponson. P"'. <br />â–ºsltr.N E. v.nnuod. S.c'y. <br />AAII* .atls van 2p omen <br />Earl rtmettlal <br />Fort, au9bw <br />DaMM L Flores <br />John D. Mut. M.O. <br />VnIttaat J. We& <br />Mary Anna Lew <br />SAN OAQUIN LOCAL HEALTH OISTF <br />1601 Easl Hazellon Avenue, P. O. Box 2009 <br />Stockton. Callfornla 95201 <br />209/468-8781 <br />J0911 Klunna. M.D., M.P.N., Dfatrke Health CX1ker <br />T <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 z1o3 country club, Stockton <br />hereby authorize Sequoia Lab 2549 Middletown Rd Redwood city,CA <br />to release any and all analytical results. geotechnical data and site <br />assessment inforItlation 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 />OwneF;Oper4jtor. <br />Ron Beffa" Title:_Engineer <br />Address Chevron USA Inc. <br />Phone: 415-842-9520 <br />P Box 5004 San Ramon CA 94583-0804 <br />Date: September 16 1988 <br />EH 08 OS UGT 13 <br />SERVING <br />Gtr of Lodi <br />San Joaquin County <br />City of E scslon <br />city of Manteca <br />city of Ripon <br />Coy e/ Stockton <br />City of Tracy <br />San Joaquin county <br />San Joaquin County <br />