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BOARD OF TRUSTEES SAN JOAQUIN LOCAL HEALTH DISTRIC, SERVING <br /> James Culbsrtson, Pres. City of Lodi <br /> Patricia E. Vannuccl, Sec'y. 1607 East Hazelton Avenue, P. O. Box 2009 San Joaquin County <br /> Anthonette Van Spronsen City of Escalon <br /> Earl Plmentel Stockton, California 95201 City of Manteca <br /> Fern Bugbee 209/466-6781 City of Ripon <br /> Daniel t_ Finres City of Stockton <br /> John D. Mast, M.D. City of Tracy <br /> William J. Wade Jopi Khanna, M.D., M.P.H., District Health Officer San Joaquin County <br /> Mary Anna Love 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 2941 Navy Drive, Stockton, California <br /> do <br /> hereby authorizeGroundwater Technology, Inc. <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 /> TEXACOING AND MA KETING INC. i <br /> Owner/Operator: T � Title: <br /> Address 3015 Bradshaw Road Phone: 361-0614 <br /> Sacramento, Ca 95826 <br /> Date: <br /> l/C 2,3 1987 <br /> E AV ERo �SERVICESLTy <br /> EH 08 05 <br />