Laserfiche WebLink
„QAr+u 0 11.,ustl t s A <br /> l <br /> Crd; 14JOAOUIN I OCAL HEAL III DISI flICT <br /> .remea .aun, Pros SERv1No <br /> r'nlrlt �, t YeAnnu[ct :.ec'y City of tod. <br /> Antho,wife Yen Sprnn inn 1601 Fast Halellon Avenue, P O Ro) 2W9 `ars JOA <br /> Q, <br /> r e.l runer,lel uln CountyStockton, California 9`.701 City Of Eacalon <br /> L <br /> F ern O . Uen City of Manteca <br /> Daniel D. <br /> Flores 209/46"781 - <br /> John D. Meat, a City of Stockton City of Alpon <br /> William J. K'sAJopi Khanna, M.D., M.P.H., Diatrlcl Health Officer City of Tracy <br /> Mary Anna Love Sen Joaquin County <br /> San Joaquin County <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 <br /> located at <br /> hereby authorize U <br /> to release any and all analytical results, geotechnical data and site <br /> 4ssessment 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: <br /> VTitle: <br /> Address �3� CIeCu7a�(� Phone: 1--/ 77 aY C 1 <br /> cS� jD^J e-4 <br /> Date: <br /> 7X <br />