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BOARD OF TRUSTEES SAN JOAQUIN LOCAL HEALTH DISTRICT SERVING <br /> James COberlson,Pres. I� City of Lodi <br /> Mary Anna Love,Vice Pres. 01601 East Hazellon Avenue, P.O. Box 2010 San Joaquin County <br /> Patricia E.Vannuccl,Secy. San Joaquin County <br /> Tommy Joyce Stockton, California 95201 City of Escalon <br /> Earl Pimenlel City of Manleca <br /> Virginia Mathews (209) 466-6781 City of Ripon <br /> Daniel L Flores City of Slockton <br /> John D.Mast,M.D. Jogi Khanna,M.D.,M.P.H.,District Health Officer :r City of Tracy <br /> Gene S.Kraham 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 �32t� /YAYY err/{/� 3 oc-)(7-f7N, G9 <br /> hereby authorize RL 111 �.�ATD LggS <br /> to 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 /> --✓ <br /> er/Uperato Title : Corporate Secretary <br /> Own ) <br /> Address 2324 Navy Drive Stockton, CAPhone: 209-948-4600 <br /> 6 <br /> Date: 3- 8-89 <br /> s <br /> i <br /> i <br /> EH 23 041 3/86 <br /> i <br /> Ell C) <br /> I <br />