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BOARD OF TRUSTEES SA%seJOAQUIN LOCAL HEALTH DIS*,0iICT SERVING <br /> Clof Lodi <br /> James Culbertson, Pres. <br /> '- Patricia E. Vannuccl, Sec'y. 1601 East Hazelton Avenue, P. O. Box 2009 San Joaquin n county <br /> Anthonette Van Spronsen City of Escelon <br /> Earl Pimenlel Stockton, California 95201 City of Manteca <br /> CityFern Bugbee 209/466-6781 City of <br /> Ripon <br /> Clt <br /> Daniel L. Flores Stt ockton <br /> John D. Mast, M.D. CityofTracy <br /> William J. Wade Jogi Khanna, M.D., M.P.H., District Health Officer San Joaquin County <br /> Mary Anna Love San Joaquin County <br /> AUTHORIZATION TO RELEASE ANALYTICAL RESULTS, GEOTECHNICAL DATA AND <br /> SITE ASSESSMENT INFORMATION <br /> I, the undersiy ned owner and/or operator of the property and/or facility <br /> located at Transportation Bus Garage, 315 East 11th Street , Tracy, CA 95376 <br /> hereby authorize <br /> Zi— <br /> to release any and all ana ical 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 /> Owner/Operator: Reggie Mersaroli Title: Transportation Director <br /> Address 315 -East Eleventh Street Phone: 831-5051 <br /> Tracy, CA 95376 <br /> Date: July 10 , 1987 <br /> LH 08 05 <br />