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RECEIVED J'JN <br /> -P0A�"pF IRUSTEES SAN AQUIN LOCAL HEALTH DISTRIi✓'T <br /> �.m -G-ulbenson, Pres. SERVING <br /> 4, <br /> I P■l(1cla E. Vannuccl, Secy City of Lodl <br /> hr Anlhonalle Van Spfonsen - 1601 East Hazelton Avenue. P. 0. Box 2009 San Joaquin courity <br /> 1 Earl Plmentel Stockton, California 95201 j City of Escalon <br /> F•rn Bupdee �t $ ;` i Cltyof Manteca <br /> Daniel L. Floras 209/466-6781r '"` ! Clly of Ripon <br /> John D. Mast, M.D. , <br /> City of Stockton <br /> William J. Wade Jogl Khanna. M.D.. M.P.H., District Health Offlc , City of Tracy <br /> Mary Anns Love a.Il� �[� San Joaquin County <br /> San Joaquin County <br /> E--NVIRONr,/ENTAD <br /> �- HT;k! <br /> PE2P,X171SFfa' <br /> 3 <br />` AUTHOR!-ZAT--I-ON-`T0 -RELEASE ANAUYTICAI`' RESULOT SGEOTECHNICAL DATA AHD ���� <br /> SITE ASSESSMENT INFORMATION <br /> ER I, the undersigned 9 owner, and/or operator of the property and/or facility <br /> 7-777f,t1Vj!RW. <br /> located at 1400 -aTracy18.l.vd /APN 235-15-22- <br /> hereby <br /> 35=] 5 2hereby authorize WaterWork Cor oration <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 /> , y <br /> Ownef/operator: Ti t e: y{(,s <br /> Address 21060 Rainbow Drive phone; 408) 996-$088 <br /> F <br /> Cupertino, CA 95014 <br /> Oate: June 9 1989 <br /> 2 <br /> } <br /> EH 08 05 UGT 13 <br />