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• BOARD of TRUSTEES SAKJOAQUIN LOCAL HEALTH DISSNAICT SERVING <br /> James Culbertson, Pres. City of Lodi <br /> Patricia E. Vannuccl, Secy. 1801 East Hazelton Avenue, P. O. Box 2009 San Joaquin county <br /> Anihonette Van Spronsen City of Escalon <br /> Earl Pimentei Stockton, California 95201 City of Manteca <br /> Fern Bugbee 209/468-8781 City of Ripon <br /> Daniel L. Flores City of Stockton <br /> John D. Most, M.D. City of Tracy <br /> William J. Wade Jogl Khanna, M.D., M.P.H., District Health Officer Sen 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 6700 ran line Road ants CA 95304 <br /> hereby authorize Canonie Engineers Inc. <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 /> Owner/Operator � �Title: <br /> Address J.B. Terminal , 6700 Grant Line Road Phone: 941-R3[� <br /> Banta CA 95304 <br /> Date: s1 �7 <br /> EH 08 05 <br />