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BOARD OF TRUSTEES SAN JOAQUIN LOCAL HEALTH DISTRICT SERVING <br /> J4mee Cult wh., Pree. City of Lodi <br /> Mary Anna low,vka Pree. 1601 East Hazelton Avenue, P.O. Box 2009 San Joaquin County <br /> Patricia E.Vannucd,Secy. San Joaquin County <br /> Tommy Joyc• Stockton, California 95201 city of Esc■ion <br /> Ead Pimenlef City of Maniacs <br /> vlrpkda Mat"" (209) 466-6781 City of Ripon <br /> Daniel L Florae City of Siockton <br /> John D.Mast,M.D. Jogi Khania,M.D.,M.P.H.ONkkt Heaith Olacm City of Tracy <br /> Gene S.Kreham 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 412 So. Sacramento St. , Lodi, Ca. 95240 <br /> hereby authorize i — Cyal4miq <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: Phillip H. Muller Title: President <br /> Address _ 415 So Sacramento St. phone. 334-3781 <br /> Lodi. Ca. 95240 <br /> Date: 2-24-88 <br /> EH 08 05 UGT 13 <br />