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1`•un, P.... .,n. . .t*.0, t IJI.J.I. I11 JAI 111 I11:J 1111 <br /> Cu4d. :.I N`'IbD <br /> r, o.n,,,,cu_ ..ac'r Cllr nl t udl <br /> Anlhunetle van Spronren IDol (.dSi Hllellon Ayenlr D, N. 0. HOA 211)9 an Joapuln County <br /> E•rJ Plmenlel <br /> Slocklon, Calllornia 95201 Gly of E,c.lon <br /> Fern Duotree City of Manteca <br /> Danlef L. Flota, 209/466-6781 City of nlpon <br /> John D. Marl, M.D. City of Stockton <br /> City of Tracy <br /> William J. Wade Jool Khanna. M.D., M.P.H.. District Iiesith officer Sen Joaquin Counly <br /> Mary Ann, Lore San Joapuln 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 <br /> hereby authorize I i I � ")Z 4, �� )r} ;� /: /% Al <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 /> Owned/Operator: <br /> Address �Z 7 Phone: : <br /> Dater <br /> EH 08 OS UGT 13 e <br />