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• % <br /> 60, RD OF TRUSTEES SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> James CUlbertson. Pres. SERVINo <br /> Patricia E. Vannuccl, Secy Clty of Lodl <br /> Anthonette Van Spronsen 1601 East Hazelton Avenue, P. O. Box 2009 San Joaquin County <br /> Earl Plmentel Stockton, Callfornia 95201 City of Escalon <br /> Fern Bugbee City of Manteca <br /> Daniel L. Flores 209/466-6781 City of Ripon <br /> John D. Mast, M.D. City of Stockton <br /> William J. Wade Jogl Khanna, M.D., M.P.H., District Health Officer City of Tracy <br /> Mary Anna Love 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 7400 N. West Lane, 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 /> Owner/Operator: / <br /> —Title: ()c'�J 1'_� // <br /> Address / til c � <br /> S�f �-� Phone: �� � <br /> ------------------------------ <br /> Date. <br /> r <br /> AUG <br /> 19�8 <br /> EN yIRo �4 <br /> ,pf RM TNTAL <br /> lskRV,C"EAL <br /> SES <br /> EH 08 05 UGT 13 <br />