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f <br />dOR:ADoiF 1 8 V S I E E S <br />Jamas Culua l --on. Pres. <br />Patricia E. Vannuccl. Secy <br />Anlhonette Van Spron,aen <br />Earl Plmentel <br />Fern Bugbbe <br />Daniel L. Flores <br />John D. Mast. M -D. <br />wimam J. Wmde <br />Mary Anna Love <br />SAN*AQUIN LOCAL HEALTH DIST&T <br />1601 East Hazetton Avenue. P. 4. Box 2009 <br />Stockton, Callfom+a 95201 <br />209/466-8781 <br />Jogl Khanna, M.D., M.P.H., District Health Officer <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 5400 PACIFIC AVENUE, STOCKTON, CA 95207 <br />hereby authorize NORTH CAL CONSTRUCTION <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 me or my <br />representative. <br />Owner/Operato <br />Address <br />PACIPIt & ROBINHOOD <br />Date: 27 MAY 88 <br />111 08 01, . UGT 13 <br />Citle: <br />?hone: <br />a <br />SERVING <br />City of Lodi <br />San Joaquln County <br />City of Escaton <br />City of Manteca <br />City of Ripon <br />City of Stockton <br />City of Tracy <br />San Joaquin County <br />San Joaquin County <br />