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1. m.e CVlbrrteer�. Pt.., <br />Mary Anna Leve. vke Pr« <br />i`•ukla E. vann."I. 6eC r, <br />Tommy Joyce <br />Earl Ptmenlel <br />VCQ"4 Math* W4 <br />Dame{ L Ftofe. <br />John D. Meet, M.D. <br />den• a. Kroham <br />)AN JOAC}UIN LOCAL HEALTH U0THI <br />CT <br />SERvttiG <br />1601 E861 liatelton Avenue. P.O. 00K 2004 Cur o4 t_ -at <br />!an Joaquin County <br />Slockton, Calllornla 95201 Safi Joaquin County <br />city o{ Eacaloo <br />(204) 466-6781 CNy or Manteca <br />City et Ripon <br />J094 Kh*m1 M•D., M.P.11, D{etrkl Heatth omcw CAY er Stockton <br />CRy of Tracy <br />San Jaaqutn County <br />AUTHORIZATION TO RELEASE ANALYTICAL RESULTS, GEOTECHNICAL DATA AND <br />SITE ASSESSMENT INFORMATION <br />i <br />I, the undersigned owner and/or operator of ttre <br />located at Various San Joa uin County <br />property and/or fa <br />locations cility <br />hereby authorize Canonie Engineering, <br />Inc. <br />to release any and all analytical results. <br />assessment informatione <br />data and site; <br />to tare San Joaquin <br />as it is available <br />Local Health <br />ealLlr District as soon <br />and at tile same time it <br />rel�rescrrtativc. <br />is provided to me or my <br />Sa Joaqui Couniy Government <br />Qh't4 <br />Buildings <br />�' i'rl.� <br />(wrrer/01rerator: D anis Marciasini <br />1722 E. Scotts Avenue <br />Title: Assistant Director <br />-�41'1tUnt; <br />VL <br />` <br />a,.rT rt` <br />+'tea•' � � � <br />u <br />2 S 19 Sid <br />�Gl <br />ENVIROMENTAL HEALTH <br />EERMIT/SERVICE; <br />EH 1)8 05 11Ci'1' 1,3 <br />