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BOARD of 1AUS1EES <br />James Culbertson. Pie&. <br />Patricia E. Vannuccl. Secy. <br />Anlhonells van Spionsen <br />Earl Plmenlel <br />Fain Dupbee <br />Daniel L. Flores <br />John D. Masl. M.D. <br />William J. Wade <br />Mary Anna Love <br />N%. ..i <br />SAN JOAQUIN LOCAL HEALTH DISTRICT <br />SERVING <br />City of Lodi <br />1601 East Hazelton Avenue, P. O. Box 2009 <br />San Joaquln County <br />City of Escelon <br />Stockton. Callfornia 95201 <br />City of Manteca <br />209/466-6781 <br />City of Ripon <br />. <br />City of Stockton <br />City of Tracy <br />Jopl Khanna. M.D.. M.P.H.. District Health Officer <br />Sen Joaquin County <br />San Joaquin County <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 104 W. list Tracy, cal. <br />hereby authorize .FGL�qN IABORATORY of. Stockton Cal. <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 />Ownef/Operator: �� Title: %NM <br />Address MR. Lx4BERT BARNLAI Phone: 728 355l, <br />P.O. BOZ 1071, SAN ANDREAS, CAL 95249 <br />Date: 28 July 1988 <br />