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BOARD OF TRUSTEES SAN-JOAQUIN LOCAL HEALTH DISTRICT SERVING <br /> James Culbertson,Pres. City of Lodi <br /> Mary Arms Love,Vice Pres. 1601 East Hazetton Avenue, P.O. Box 2009 San Joaquin County <br /> San Joaquin County <br /> Patricia E Vannuoci,Secy- of Fscalon <br /> T,,,a„y Joyce Stockton,Caldomia 96201 City <br /> Fad Ptrnentel City of Manteca <br /> City of Ripon <br /> Vagina Mathews (209)a Maews (209) 466-6781 <br /> Va <br /> DCity of Stockton <br /> Daniel L Flores <br /> John D.Mast,M.O- Jogi Khanna,M.D.,M.P.H.District Heahh Officer City of Tracy <br /> San Joaquin County <br /> Gene S-Kraham <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 611 W. Fremont St. Collins Electric Co. Stkn, Ca. <br /> hereby authorize Stockton Contracting and Canonie Environmental Lab. <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 file or my <br /> representati ve- <br /> UfX�'-1�97�o trJS. <br /> Owner/Operator_\��'14 f L7 � (,(4C Title: y)�y_T� <br /> Address 611 W, Fret Street Phone: (209) 466-3691 <br /> Stockton, Ca. <br /> Date: January 9, 1989 <br /> EH 08 OS UGT 13 <br />