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J,mu Cu9a.n.00. P,... "" VW. WVnv LVL.AL H ALlH UIS i r, 1 <br /> ♦,GKI• E. v.nnufU. S•c•y• SERVING <br /> Anlhonan. Vag Sp.onian 1604s1 Huellon Avenue P. 0. Box ?� COP Of Lodi <br /> foil Platfanlal San JoaQuln County. <br /> F.,n 9uoo.. Stockton, Callicimis 95201 Cityof E,tabn <br /> 0anld L. FIOfa/ 209/166.6781 Clly of Manteca <br /> John 0. Mail. M.O. _ City of Ripon <br /> William J. Wada Jop1.Khanna. M,0 - city of Stockton <br /> Mary Ann. Love M,P.H„ 01.1/ki Health Oflkat City of Tacy <br /> San Joaquin County <br /> San Joaquln County <br /> AUTHORIZATION TO RELEASE ANALYTICAL RESULTS, GEOTECHNICAL DATA AND <br /> SITE ASSESSMENT INFORMATION <br /> 1 , the undersigned owner and/or operator of the property and/or facility <br /> located at 711 Soit FI ,�f,ar3ison Stockto <br /> hereby authorize <br /> Lo release any and all analytical results. geotechnical data and site <br /> nssessmenL 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 /> West a St o e rod s , Inc <br /> OwneWperator: b ?� Title: <br /> r;orrirc,en+. p`ana-•er <br /> Address P 0. Bo 1 Phone: <br /> Modesto., CA 95353 <br /> Oatc: <br /> 1t 08 OS UGI 13 <br />