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nonrty OF rAusreFS STAR! JOA(.11lIN LOCAL HEALTH DISTRICT SERVING <br />J aniae C"Muonson. Pras. �. City of Lodi <br />Pnhkio E. Vannuccl, Soc'y. ) -- f San Joa uta Count <br />Anlhonntfn Van Sproneon ' 160 st Hazelton Avenuo, P. O. Box 206' q y <br />Earl Vlrnontol �� c r Clly of Escalon <br />,Iocklon, C�rllfornia 95201 city of mantoca <br />finrn nC <br />banlcl LL. . Homo �- 209209/466-6701209/466-6701-209/466-6701ity of nipon <br />John D. Mart, N.O. _ � City of Stockton <br />City of Tracy <br />VJllllam-J. Wodo Jopl Khanna, 1A.D., C,r PAI., Dlatrlct Hoalth Officer San Joaquin County <br />Mary Anna L San Joaquin County <br />OCT 2 7 <br />1986 <br />EN PERMIT/SE CLTH <br />AUTHORIZATION TO RELEASE ANALYTICAL RESUI.IS, GEOTECHNICAI DATA AND <br />SITE ASSESSMENT INFORMATION <br />I. the undersigned owner and/or operator of the property and/or facility <br />located at 3300 �,._ €�Ag2f4Y7o Sr. $roef�ron(� CA. <br />hereby authorize CA1, f &at j i AnE,,ri— Mpg <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 />Owned/Operator: Title: bLJve✓Z <br />Address �//� p E, / r'cy ve Phone: <br />Date: OCT Z Slo <br />0 <br />Eli 08 05 UGT 13 <br />