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BOARD of IRUST EES SAN JOAQUIN LOCAL HEALTH DISTRICT SERVING <br /> James Culbertson, Pree. City of Lodi <br /> Patricia E. Vannuccl. Secy Sen Joaquin County <br /> Anihonette Van Spronsen 1601 East Hazelton Avenue, P. O. Box 2009 <br /> City of Eecelon <br /> Earl Plmenlel Stockton, California 95201 City of Manteca <br /> Fern Bupbee 209/466-6781 City of Ripon <br /> Daniel L. Flores City of Stockton <br /> John D. Mast, M.D. City of Tracy <br /> William J. Wade Jopl 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 /> 1 , the undersigned owner and/or operator of the property and/or facility <br /> located at 26675 and 26618 N. Sacramento Road, Thornton, CA. <br /> hereby authorize Canonie Environmental <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 /> EW HOP SCH/]�L STRICT <br /> Owner/Operator: /�(C t' C- ` Title: _�5u r <br /> Address Phone: =Pt y 7Q — <br /> Date: C� <br /> EH 08 05 UGT 13 <br />