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BOARD OF TRUSTEES SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> James Culbertson, Pres, SERVING <br /> Patricia E. Vannuccl, Secy City of Lodi <br /> Anthonetle Van Spronsen 1601 East Hazelton Avenue, P. O. Box 2009 San Joaquin County <br /> Earl Pimenlel Stockton, California 95201 City of Escalon <br /> Fern BuDues CITY of Maniacs <br /> Daniel L. Flofes 209/466-6781 City of Ripon <br /> John D. Mast, M.D. CRY of Stockton <br /> William J. Wade Jopl Khanna, M.D., M.P.H., District Health Officer City of Tracy <br /> Mary Anna Love San 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 8111 W. Business Loop 205, Tracy, CA <br /> hereby authorize Canonie Environmental , Stockton, CA <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 /> M & M uildersSupply <br /> Owner/Operator: I � '� Title: <br /> Address P. O. Box 1107 Phone: 209) 835-4172 <br /> Tracy, CA 95378 <br /> Date: <br /> EH 08 05 UGT 13 <br />