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BOARD OF TRUSTEES SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> James Culbertson, Prea. <br /> Patricia E. vannuccl, sec'y. 1601 East Hazelton Avenue P. O. Box 2009 San Jos" <br /> Anthonetttte Van Spronsen City of <br /> Earl Pimentel Stockton, California 95201 city of <br /> Fern Bug Dee <br /> Daniel L. Flores ,209/466-6781 city ot. <br /> John D. Mast, M.D. Ckyol <br /> city of <br /> William J. Wade Jopl Khanna, M.D., M.P.H., District Health Officer SanJosquln <br /> Mary Anna Love San JoaquW <br /> �s <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 RR(17 Thnrhon -cRnaA <br /> hereby authorize Camomie Enqineers <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 /> 1. <br /> Owner/Operator: way Tnjraa}mant f rniin Title: <br /> Address Phone: 942-2229 <br /> 231 E. Weber Ave. z� <br /> ;F. <br /> Date: 9-30-86 <br /> EH 08 05 <br />