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NOAAO OF TRUSTEES SAH JOAQUIN LOCAL. HEALTH DISTRICT SERVING <br /> ,J2eP.'ss C,toanpon, Prep. - City of Lodi <br /> f aissris vannuccl, Soc y 1601 East Hazelton Avenue,' P. 0, Box 2(M San Joaquin.County <br /> A6nthonatle van Spronsen - City of Escalon <br /> Earl Pimento, Stockton, California 95201 - City of Manteca <br /> City' Pern euuaae 209/466-6781 City <br /> ckton <br /> Da"tet L. Forel Chy of Stockton <br /> John D. moist, M.0 City of Tracy <br /> Wlniam J. Wade Jogi. Khanna,-M,D,, M.p.H„ District Health Officer Sen Joaquin County <br /> Mary antra LOVe San Joaouln County <br /> AUTHORIZATION TO RELEASE ANALYlICAL 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 22484 7th Street, Tracy, CA.--.--- <br /> hereby <br /> A --.hereby authorize Canonie Environmental , Stockton, CA. <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 /> ' a <br /> Owner/Operator I ' Title: .C� <br /> _ +_-- — -- <br /> Address -- _Phone: <br /> Date: / 9/13/88 _ <br /> 'r,, nrp nc ii�17 , l <br />