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HOARD OF TRUSTEES SAN JOAQUIN LOCAL HEALTH DISTRICT SERVING <br /> James Culbertson,Pres. City of Lodi <br /> Mary Anna Love,Vice Pre*. 1601 East Hazelton Avenue, P.O. Box 2009 San Joaquin County <br /> Patricia E.Vannucci,Secy. San Joaquin County <br /> Tommy Joyce Stockton, California 95201 City of Escalon <br /> Earl Platonist <br /> City of Manteca <br /> Virginia Mathews (209) 466-6781- City of Ripon <br /> Daniel L Flores City of Stockton <br /> John D.Mast,M.D. Jogl Khanna,M.D.,M.P.H.,District Health Officer City of Tracy <br /> Gene S.Kraham 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 455 West Grantline Road, Tracy, California <br /> hereby authorize American Environmental <br /> to release any and all analytical results <br /> 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 /> 141 v."SCj Q "+ Fob <br /> Owner/Operator: 3>RJtD LArAeA - Tt-1L.f}tJ\ Title: Crr.InT. SJPERJiS <br /> Address 655 University Drive, Suite 104 Phone: (916) 929-7700 <br /> Sacramento, CA 95825 <br /> Date: <br /> EH 23 041 3/86 <br /> EH <br />