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BOA <br /> James <br /> IRUS.EES <br /> J1mn SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> Culbertson. Nal. <br /> Patricia E. Vannuccl, Secy. Clly of Lodi <br /> Anihonatt• Van SplOnsen 1601 East Haazelton Avenue, P. 0. Boa 2009 San Joe <br /> QulnCounty <br /> Earl Plmanlel <br /> Fun Bupbee Stockton, Callfornia 95201 city of Escaton <br /> Daniel L. Flores209/466-6781 City of Manteca <br /> John D.J. <br /> ast.Wade <br /> City of Stockton <br /> City of Ripon <br /> M.O. <br /> William J. Wade Jopl Khanna, M.O., M,P.H., District Health Officer City of Tracy <br /> Mary Anna Love San Joaquin County <br /> San Joaquin County <br /> AUTHORIZATION TO RELEASE ANALYTICAL RESULTS. GEOTECHNICAL DATA AND <br /> SITE ASSESSMENT INFORMATION <br /> 1 . the undersigned owner and/or operator of he property and/or facility <br /> located at �S <br /> cam, ®c <br /> hereby authorize ' <br /> to release any and all analytical results. geotechnical data and site <br /> dssessment information to the San Joaquin Local Health District as soon <br /> as it is available and at the same time it is provided to the or my <br /> representative. / <br /> Owner/Operator: TitIe:C/CpJi( <br /> Address o23� Phone: <br /> Date: �o`l <br /> r <br /> EH 08 05 UGT 13 <br />