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BOARD OF TRUSTEES SAN JOAQUIN LOCAL HEALTH DISTRICT SERVING <br /> J.m.e C.Io aon.Prw. City of Lodl <br /> Mary Ann.Low,vice Pr«. 1601 East Haiellon Avenue, P.O. Box 2009 San Joaquin County <br /> P.IAcIa E.vanm.cd.Secy. Sen Joaquin County <br /> V Joyce Stockton, California 95201 City of Eecalon <br /> �. ."onlel City of Manteca <br /> wawra Mathe" (209) 466-6781 city of Ripon <br /> Den"L Floree City of Stockton <br /> John D.Most,M.D. Jopi Khennti M.D.,M.►.H,Dlehki Health tinter city d 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 Lincoln Unified School District: 6749 Harr; sh„ra Placa <br /> hereby authorize California Watnr I.ab,.; <br /> to release any and all analytical results , geotechnical 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: �� ��G Title: Director of Maint- <br /> enance, Operations, Transportation, Saflelt and Security <br /> s <br /> Addres 6749 llaJrzis-bu=g Pear t 1e —473 5585 <br /> Stockton, CA 95207 <br /> Date : March 1, 1988 <br /> EH 08 05 UGT 13 <br />