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BOARD OF TRUSTEES SAROAQUIN LOCAL HEALTH DIST&T SERVING <br /> James Culbertson,Pres. City o1 Lodi <br /> Mary Anna Love,Vice Pres. 1601 East Hazelton Avenue, P.O. Box 2009 San Joaquin County <br /> Patricia E.Vannuccl,Secy. San Joaquin County <br /> Tammy Joyce Stockton, California 95201 City of Escalon <br /> Earl Plmental City of Manteca <br /> Virginia Mathews (209) 466-6781 City of Ripon <br /> Daniel L.Flores City of Stockton <br /> John D.Mast,M.D. Jogl Khanna,M.D.,M.P.H.,District Health Officer 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/car facility <br /> located at 2847 Heinz Street Stockton, CA. 95206 <br /> hereby authorize Canonie Environmental Services Corp. <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 /> Owner/Operator: � ' Title : % �- !�• './f��2- <br /> Address One Market Pla4 Room 1007 San Francisco, CA. phone : (415) 541-2385 <br /> 94105 <br /> Date : <br /> EH 08 05 UGT 13 <br />