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aOARO of IRUSTEES SAN JOAOLIIN LOCAL HEALTH DISTRICT <br /> Jamu Culb.rt>on, Ple f. SERVING <br /> P'I,ICI• E. Vannucci, S.c'y. City of Lodi <br /> rl <br /> Anihoatfe Van Splon>en 1601 East Halellon Avenue, P. O. Box 2009 San Joa quln county <br /> Earl Plmantal Stockton, Callfornia 95201 City ofM. <br /> City fcalon <br /> Farn 8upOee - <br /> Danlef L. Flores 209/466-6781 City of Ripon <br /> John D. Mast, M.D. - Cltyof Stockton <br /> William J. Wade Jopl Khanna, M.D., M.P.H., District HeaRh Officer Gly 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 /> I. the undersigned owner and/or operator of the property and/or facility <br /> located at Ripon Farm Service 22871 S ST RTE HWY99 FRNT Rioon CA 95366 <br /> hereby authorize Canonie Engineering Inc. <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 thetisame time it is provided to me or my <br /> representative. <br /> RIPON F SERvi! <br /> Owned/Operator: Title: OPR, MGR, <br /> Address 22871 S ST RTE HWY 99 Ripon CA 95366 Phone: 599-2188 <br /> Date: April , 19$7 <br /> 114 08 05 UGT 13 <br />