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SAN JAUUIN LUGAL HLAL 1 H UI51 a�IT <br /> Jamar CulUartaon, Piea. 1 SLRYINO <br /> Patflcl■ E. Vannuccl, Secy. Clty of Lodi <br /> Anthonetls Van spronsen 1601 East Hazelton Avenue, P. 0. Box 2009 San Joaquin County <br /> Esd Pimeniel Stockton, California 95201 City of Escalon <br /> Fern Bupoee City of Manteca <br /> Daniel L. Flores 209/466-6781 City of Ripon <br /> John D. Mast, M.O. City of Stockton <br /> William J. Wade Jopi Khanna, M.D., M.P.H., District Health Officer City of Tracy <br /> Mary Anna Love San Joaquin County <br /> 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 L7, 0 <br /> hereby authorize C FP <br /> to release any and all analytical results, geotechnicXl data and site <br /> dssessment 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 /> C <br /> Ownef/Operator: Title: �Ck� <br /> Address Phone: <br /> Date: <br /> EH 08 OS UGT 13 a <br />