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•o.ao or Invsl(cs SAN JOAOUIN LOCA <br /> ,•^•.r C,�w.n.an � L HEALTH plSTfIICT <br /> 1 a.lC 1. t. V.nnyCcl. $.C'r ICNVINo <br /> Anlw•n411• V.w so.on,.n 1601 Easi HaJcllon Avenue, P. O. Bog 2009 SCllr or Lodl <br /> (. 1 IIT.m•1 •w Jo•Ouln county <br /> F.•n !lvpU.• <br /> Slockton, California 95201 Cllr or E,c.lon <br /> 0rn1.1 L. Flour 209/466{781 Cllr or M•nl•C. <br /> John 0. Mut. M.O. Glr of Ripon <br /> Gly of Slocklon <br /> M.eyWilliam J. Wed* Jopl KAanna, M.0„ M,P.N., District N••Ilh officer Gly of Tracy <br /> M•ry Ann. Lo.• San Joaquin C'aunl r <br /> San Joaquin County <br /> AUTHORIZATION TO RELEASE ANALYTICAL RESULTS, GEOTECHNICAL DATA AND <br /> SITE ASSESSMENT INFORMATION <br /> I , the undersiqDed caner ad4orrefye> atoq f the <br /> p erty and r foci 1 i ty <br /> located at <br /> hereby authorize Canonie Engineers ' <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 /> QwneF/Operator. Fred Peters Sk. owner <br /> Addressit</�T i tl e: <br /> 9033 Hope Lane <br /> Phone: 931-2782 <br /> 9f '-ton California 95212 <br /> Date : <br /> s <br /> 111 08 05 UGI 13 <br />