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e0AkU ur IRUS1l t <br />'James Cvlber1e0n. Pres. <br />Patricia E. Vannuccl. Sac'y <br />Anthonelle Van Spronsen <br />Eerl Pimentel <br />Fern 9ugbee <br />Daniel L. Flores <br />John D. Mast, M.D. <br />William J. Wade <br />Mary Anna Loy* <br />SISJOAOUIN LOCAL HEALTH DI ICT <br />1601 East Hazelton Avenue, P. O. Box 2009 <br />Stockton, Callfornia 95201 <br />209/466-6781 <br />Jogl Khanna, M.D., M.P.H., District Health Officer <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 810 S. Van Buren Street, Stockton <br />hereby authorize Western Meter Service, Inc. <br />* <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 />Ownef'Operator: Shepherd & Green Title: V.P., Sect. <br />Address 826 N. E1 Dorado Street Phone: 466-5177 <br />Date: 1/28/87 <br />EH 08 05 UGT 13 <br />SERVING <br />Chy of Lodl <br />San Joaquin County <br />City of Escalon <br />City of Manteca <br />City of Ripon <br />City of Stockton <br />City of Tracy <br />San Joaquin County <br />San Joaquin County <br />