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BOARO OF TRUSTEES <br />James Culbarlaon, P/ao, <br />Mary Anna Low, Vice rrw. <br />retrlcla E. Vannuccl, Sat'y. <br />Tommy Joyce <br />Ead Plm*ntal <br />VirQlyda Mathawa <br />OanW L Flor« <br />jam O. Mast, M.O. <br />Gane & Kraham <br />SAN JOAQUIN LOCAL HEALTH DISTRICT <br />1601 East Hatetton Avenue, P.O. BoK 2009 <br />Stockton, Callfornla 95201 <br />(209) 1r,5-8181 <br />Joel Khanna. M.O, M.r.N, florid Hoorn Onkar <br />AUTHORIZATION TO RELEASE ANALYTICAL RESULTS, GEOTECHNICAL DATA AND <br />SITE ASSESSMENT INFORMATION <br />SERVING <br />City of Lodi <br />San Joaquin County <br />San Joaquin County <br />City of Eacalon <br />City of Maniacs <br />City of Ripon <br />City of StodAon <br />City of Tracy <br />San Joaquin County <br />I, the undersigned owner and/or operator of the property and/or facility <br />located at �Q„, <br />kiereby authorize ]L �l,l ulr , it rt�l-cjS ��j 1 LLO 1 LP Yr. �W <br />to release any and all analytical results, geotechnical data and sits. <br />assessment information to the San Joaquin Local I{ealth District as soon <br />as it is available and at the same time it is provided to me or my <br />representative. <br />tor: ihI r'7Owner/Opera A�YLc'di Title: -dhtk,016r <br />/Address _ 22.1 MJ . /� 'I sf _ {'bene: '333 <br />1.”(14 <<, 961Gj <br />1)atc:---- <br />EH 08 05 UGT 13 <br />