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BOARD OF TRUSTEES SAh-wOAQUIN LOCAL HEALTH DIST'PWCT <br /> James Culbertson. Pres. SERVING <br /> Palrlcla E. Vannuccl. Sac'y. City of Lodi <br /> Anthonette van Spronsen 1601 East Hazelton Avenue, P. O. Box 2009 San Joaquin County <br /> Earl Pimento[ SIOCkton, Callfornia 95201 city of Eacalon <br /> Fern Bugbee Clty 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 Jopl Khanna, M.D., M.P.M., 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 8010 South Airport Way , Stockton <br /> hereby authorize Placer Tractor Service <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 /> Ownef/Operator Titley p7JQ <br /> Address Phone: 7�iXt4—' <br /> 6r <br /> Date: oZ <br /> EH 08 05 UGT 13 <br />