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80.010 Of InuSt((S SAN AOAQUINLOCAL HF-ALInutw111", 1 SLavIN0. <br /> J.Wasr.Y!Ilan eon, Pea a. CIty of Lodi <br /> � �� - $an Joe Yln <br /> rurKra E. vann-pcl. S.c•r• 1601 East Hazellon Avenue.P.,0. Boa 200`J V <br /> Anlnonalla van sp.onYan city of Eacalon. <br /> e all rbrlaMal Slocklon, Call lofnia 95201 City of Manteca <br /> Faun a - .. 209/4116-6781 City of Rlpon <br /> panlat L.L. FlFlorae _ _ Clty 01 Slocklon <br /> City of Teacy <br /> . most. M.D. <br /> John 0ohn 0 J. Wade JoglKhanna. M.O.,M.P.N., 0lai/lcl NaaRn of'" San Joaquin County <br /> San Joaquin County <br /> Mary Anna Lova <br /> AUTHORIZATION TO RELEASE ANALYTICAL RESULTS. GEOTECHNICAL DATA AND <br /> SITE ASSESSMENT INFORMATION <br /> 1 , the undersigned owner and/or operator of the property and/or facility <br /> located at <br /> hereby authorize CALI �/jDTs-�-n� <br /> to release any and all analytical results. geotechnical data and site <br /> assessment information Lo 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 /> OwneF/Operator: <br /> Address 1{ 5 6 ♦�C)LLy W 0 O '&r/17 Phone: �C�S -o?I lobo <br /> _II 08 os ucr 13 , <br />