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} <br /> i <br /> 8OAR0 OF TRUSTEES JOAQUIN LOCAL HEALTH D ,RICT <br /> .,AN a SEFtVING <br /> Meq Awn*Lava,vice►,« 1601 East Hatetton Avenue. P.O. Bot 2009 Chy e41odl <br /> ►•orad.E.Vannuccl,ta<'y. Saw Jeaauk,Caunly <br /> T awray Joyco Stockton, California 95201 tan Joaquin Caunly <br /> 1 E•A►k""Iel city N Eacaten <br /> Vlrgkda Mauw" (209) 466.6781 Cay of Manteca <br /> OanM L Florae CRY at A" <br /> Jam O.Maas M.O. J*O Khat MAS MI.H.,Dlea N"ah gacar city N Stecktw <br /> Gana a Kraharw CKy N Tracy <br /> taw 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 330 <br /> hereby authorize <br /> to release any and all analytical results, geotechnical data and sit(' <br /> assessment information to the San Joaquin Local Ifealth 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 : ���// Title : _�Q�, <br /> lldclretis Rhone : 93<x 5/OO,SJ <br /> Date : <br /> x - AUG 1 5 1 <br /> 988 <br /> / L ENVIROMENTAL <br /> �f <br /> 7/-6 cit FERIdIT/SERVIC ES <br /> EH 08 05 UCT 13 <br />