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BOARD OF TRUSTEES N JOAQUIN LOCAL HEALTH [3-A-RICT <br /> f <br /> James Culbertson Pres. <br /> C . lr , SERVING <br /> k <br /> Kary ';nna Love,vice Pres. 1601 East Hazelton Avenue, P.O. Box 2009 City of Lodi <br /> Pa:iicia E.Vannucci,Secy. .� :�. San Joaquin County <br /> Tommy Joyce <br /> Earl i Stockton, California 95201 `J San Joaquin County <br /> M t I City of Escalon <br /> Virginia Mathews <br /> ews <br /> Daniel L.Flores (209) 466-6781 1 City of Manteca <br /> VV <br /> John D.Mast,M,D. I City of Ripon City of Stockton <br /> Gene S.Kraham Jogi Khanna,M.D.,M.P.H.,District Health s <br /> i;�tq�oa City of Tracy <br /> a NOV.. 17 San Joaquin County . <br /> i <br /> NVP EOM IM �Tx <br /> 15 SERVICES <br /> S <br /> '1 <br /> a . <br /> AUTHORIZATION TO RELEASE ANALYTICAL RESULTS f GEOTECHNICAL DATA AND <br /> �� I <br /> I d � <br /> SITE ASSESSMENT INFORMATION <br /> y iti <br /> I , the undersigned owner and/or operator of the property and/or facility <br /> located at Pacific Bell Facility, Ashley Road, Stockton, California <br /> hereby authorize Chemwest Analytical Laboratorie5J. Incc/o Versar IncJ <br /> I <br /> . <br /> to release any and all analytical results <br /> geotechnical data and site <br /> assessment information to the San Joaquin Local Health District as <br /> II soon � <br /> as it is available and at the same time itis <br /> provided to me or my � <br /> 1 <br /> representative . ! <br /> a <br /> Owner/Operator : I Title: Facility Engr. <br /> Address17 Box 15033 t Phone: (916) 972-2417 <br /> Sacramento, CA 95851 <br /> Date : <br /> EH 23 041 3/86 <br /> r I <br /> Iq <br /> EH <br /> r <br />