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-,ems- Z,an loaqutn County, <br /> r <br /> •�r.,Viknnkcl, Secy. 16O11St Hazelton Avcnuo, P. 0, Box 2009Clty of rrscslDn .. <br /> A4 !e Van spronsen C11y of Manley "= <br /> r't mentetr Slocictorl, California 95201 G1tyo! Ripon ' <br /> 2001466-6781 <br /> �9pea •- Clty of Stockton <br /> M'o`res C11y of Tracy �' •:, <br /> p t is1; M,D. o <br /> sa ir' Japl Khanna, M.D., M.P.H., Dlnlrlct Honith orflcar San Joaquin County , <br /> ide San Joaquin County <br /> Anne'Cove A <br /> .r�4kp w'H <br /> �V­UTHORUATION TO RELEASE ANALYTICAL RESULTS , GEOTECHNICAL DATA AND r <br /> SITU"ASSESSMENT INFORMATION <br /> thewdersigned owner and/or operator of the property and/or facility tE:. <br /> pEyate'& at 1100 EAST MA.1N, SIOCKION CA, <br /> ere6y authorize <br /> to`.reease any and all analytical results , Geotechnical data and site <br /> assessment information to the San Joaquin Local Health District as soon <br /> as;zt� ,i�s available and at the sane time it is provided to me or }ny . <br /> representative. <br /> T 1 L.1 e= ;/1I 1.(, � <br /> d t'f'S5 PhOC! fx, <br /> L � <br /> _ <br /> 3 �s <br /> 14 <br /> r •1Y -�ta��r <br /> IGINAL <br /> " „7_ <br /> 't <br /> r , <br /> pUS <br /> 3 <br /> I7GT 1 ` . <br /> You <br />