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✓ <br /> a0AR0. OI IRVSICES SAN JOAQUIN LOCAL. HEALTH DISTRICT <br /> /.mu Cdu.n ron. P,a.. <br /> SERVINO <br /> P.bicl. E. V.nn.ccl, S.C'r City of Lodi <br /> Anlhonalte Van SPIon.en 1601 East Hauellon Avenue, P. O. Box 20)9 San Joapuln County <br /> [.,I Plmen d Stockton, Caltfofnia 95201 city of Eacalon <br /> f.In 8v00ea City of Manteca <br /> Oanlef L. Flolef 209/466-6781 City of Ripon <br /> John D. Meal, M.O. City of Stockton <br /> William J. Wade Jog( Khanna. M.O.. M.P.N.. Olalriet Health officer City of Tracy <br /> San Joaquin County <br /> Mary Anna 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 <br /> hereby authorize <br /> Lo 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 /> Owned'/Operator- —� �id. .x� Title: <br /> Address x, Phone_ <br /> f II no nc III'T I l <br />