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BOARD OF TRUSTEES SAN JOAQUIN LOCAL HEALTH DISTRICT SERVING <br /> James Culbertson,Pres. City of Lodi <br /> Mary Araya Love,Vice Pres. 1601 East Hazelton Avenue, P.O. Box 2009 San Joaquin County <br /> Patricia E.Vannucci,Secy. San Joaquin County <br /> Tommy Joyce Stockton,Calilomia 95201 city of Escalon <br /> Fad Pimentel City of Manteca <br /> Virginia Mathews (209) 466-6781 City of Ripon <br /> Daniel L Flores City of Slockton <br /> John D.Mast,M.D. Jogi 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 DOWN RIVER FOREST PRODUCTS 6800 Fair hild Road, Stkn. Ca. 95205 \ <br /> hereby authorize Stockton Contracting Group, Inc cAij00tt, <br /> to release any and all analytical results, geo chnical data and sit" <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 1221 N. Golden Ga e Ave. Phone: (209) 466-6726 <br /> Stockton, Ca. 95205 <br /> Date: <br /> ALSO HEREBY AUTHORIZE/RELEASE Stockton Contracting Group. <br /> Jerry Joy, VP. <br /> JAN 101989 <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES <br /> EH 08 OS UGT 13 <br />