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SERVING <br /> BOARD of TRUSTEES SAN .IOAQUfN LOCM. HEALTH DISTRACT City of Lodi <br /> o�m s Culbertson, Pres, San Joaquin County <br /> ✓Patricia E. Vannucci, Secy. 1601 East Hazelton Avenue, P. O. Box 2009 City of Escalon <br /> Anthonetle Van SpronsenCity of Manteca <br /> Earl Plmentel Stockton, California 95201 City of Ripon <br /> Fern 6u9bee 209/466-6761 City of Stockton <br /> Daniel L. Flores City of Tracy <br /> John D. Mast, M.D. San Joaquin County <br /> William J. Wade Jogi Khanna, M.D., M.P.H., District Health Officer San Joaquin County <br /> Mary Anna Love <br /> AUTHORIZATION TO RELEASE ANALYTICAL RESULTS, GEOTECHNICAL DATA AND <br /> SITE ASSESSMENT INFORMATION <br /> 1 , the undersigned- owner and/or operator of the <br /> propertyanJo facility <br /> t <br /> 576- ::tA -3yTaGtrarSj <br /> 1 ocated atAr 2a6 <br /> hereby authorize eX1QCyJ1eto release 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 /> State of Calif. , e t. of Transportation, by R. R. Lesan <br /> Owner/Operator: --Title: Resident En&ineer <br /> Address 1976 E. Charter, P. 0... Box 2048, phone: 9u8-7808, 948-7867 <br /> Stockton, CA 95201 <br /> Date: 12-5-85 <br /> State Contract No. 10A514 <br /> DEC b 198b <br /> ENVIRWENTAL HEALTH <br /> PERMIT/SERVICES <br /> EH 08 05 <br />