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BOARD OF 1RUSTEES <br />James Culbertson, Pres. <br />Patricia E. Vannuccl, Secy <br />Anthonetle Ven Spronsan <br />Earl Plmental <br />Fern Bupuee <br />Daniel L. Flores <br />John D. Mast, M.D. <br />William J. Wade <br />Mary Anne Love <br />0 • <br />SAN JOAQUIN LOCAL HEALTH DISTRICT <br />SERVING <br />of <br />1601 East Hazelton Avenue, P. O. Box 2009 San Joaqulln County) <br />Stockton, Callfornla 95201 city of Escaion <br />City of Manteca <br />209/466-6781 City of Ripon <br />City of Stockton <br />Jopi Khanna, M.D., M.P.H., District Health Officer City of Tracy <br />San Joaquin County <br />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 Port of Stockton, 2201 W. Washington, Stockton, CA <br />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 />r <br />Owner/Operator <br />Address <br />PORT OF STOCKTON <br />22460 z Title: <br />P. 0. Box 2089 Phone: 9 6_, L <br />Stockton, CA <br />Date: <br />EH 08 05 UGT 13 <br />