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BOARD OF TRUSTEES SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> James Culbertson. Pres. SERVING <br /> Paldcla E. Vannuccl; Secy. Clty of Lodl <br /> Sen Joaquin Anthonetle Van Spronsen 1601 East Hazelton Avenue, P. O. Box 2009 Count <br /> Earl Plmenlel Stockton, California 95201 City of Escalon <br /> Fern Bupbee 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 Jopl Khanna, M.D., M.P.H., District Health Officer City of Tracy <br /> San Joaquin County <br /> Mary Anna Love 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 525 W. Yosemite, Manteca, California <br /> hereby authorize California Water Laboratory <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 salve time it is provided to me or my <br /> representative. <br /> A Aeo t <br /> Owner/Operator: �lrLci �G zE L-j Title: vice President <br /> Address 1100 North J Street Phone: (209) 688-2977 <br /> Tulare, California 93274 <br /> Date: June 16, 1986 <br /> EH 08 05 UGT 13 <br />