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BOARD OF TRUSTEES SAN JOAQUIN LOCAL HEALTH DISTRICT SERVING <br /> Janes Culbertson, Pres. <br /> Patricia E. Vannuccl, Secy San Joaquin Country <br /> City <br /> Anthonette Van Spronson 1601 East Hazelton Avenue, P. O. Box 2009 c y <br /> City of Eecelon <br /> Earl Pimentel Stockton, California 95201 City of Manteca <br /> Fern BugDee 209/466-6781 City or Ripon <br /> Daniel L. Florae <br /> City of Stockton <br /> John D. Mast, M.D. <br /> City of Tracy <br /> William J. Wade Jopi Khanna, M.D., M.P.H., District Health Officer San Joaquin County <br /> Mary Anne Love 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 Nelson Lab 3948 Budweiser Court, Stockton, CA 931-1266 <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 AX BUILDERS SU PP Y <br /> Owner/Operator: ��� <br /> Address P. 0. Box 1107 Phone: (209) 835-4172 <br /> Tracy, CA 95378 <br /> Date: <br /> EH 08 05 UGT 13 <br />