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el):kt) Of, 1 kUSI it S <br />J.me, Curt,wlson, Pin,. <br />PrlllC le E VennvCcl_ "C'y <br />Anthonetie Ven Sp(onsen <br />Earl Plmenlal <br />Fern Supoes <br />Daniel L. Flores <br />John D. Mast, M.D. <br />William J. Wade <br />Mary Anna Lova <br />SAN )AOUIN LOCAL lit ALI li IASI t' :T <br />1601 Last Hazellon Avenue, P. O. Dox 2009 <br />Stockton, Callfornia 95201 <br />209/466-6781 <br />Jopl Khanna, M.D., M.P.H.. District Health Officer <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 Live Oak School, 5009 E. Bear Creek, Lodi, CA 95240 <br />hereby authorize California avatar lah, <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 />st k VINs <br />City of l odl <br />Sen Joaquin County <br />City of Excafon <br />Clty of Manteca <br />City of Ripon <br />City of Stockton <br />City of Tracy <br />San Joaquin County <br />Sen Joaquin County <br />Owned/Operator: InDT IINTFTFD SCHOOL DISTRICT Title: FACILITY PLANNER <br />Address 815 w Lockeford Street Phone: 369-5511 <br />Lodi. CA 95240 <br />Date: 7 <br />Mary J S , Fac lity Planner <br />and Authori e Agent <br />EH 08 OS UGT 13 <br />