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Bo4Ro.DE iRUStEES _ SAN OAOUIN LOCAL HEALTH DIST*T SERVING <br /> Jame, Culbertson, Pre%.Plal(IClly of Lodi <br /> Anth la E. Vann uccl, SaC'y. 1601 East Hazelton Avenue, P. O. Box 2009 Sen Joaquin County <br /> Anlhonetle Van SDronaen Clly of Escalon <br /> Eari Plmenfel Stockton, Callfornia 95201 City of Manteca <br /> Fern 6upbae <br /> Daniel L. Floras 209/466781 City of Ripon <br /> John D. Mast, M.D. Chy of Stockton <br /> City of Tracy <br /> William J. Weds Jopl Khanna, M.D., M.P.M., Dletrlct Health Officer 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 jpr-aw�g y9 / p property and/orLr;, ty <br /> located at 4303 S . MCKINLEY AVE, STOCKTON CAL. iIAY .3 41988 <br /> hereby authorize" NORTH CAL CONSTRUCTION CNTAL HEALTH <br /> to release any and all analytical results, geotechnical data and site 'I SERVICES <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: r Title: <br /> Address Z, g S N`('KTNT RVy Phone: 209-9,92 1497 <br /> STOCKTON C'AL. <br /> Date: MAY 2 1988 <br /> 111 08 OS , UGT 13 r <br />