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90AWOP TAUSTEES 'IN JOAQUIN LOCAL HEALTH �RIC7 <br /> J:m;a dulb•A•on,Pras. SERV <br /> Mary Anna Low,Via&Pres, `� ` ` cuy of <br /> 1601 East Hazelton Avenue, P.O. Box 2009 San Joaquin Co.. <br /> J'atrleN S.Vannuul,Ses'y, <br /> Tommy Joyce StocktonCalllornia 95201 San Joaquin Coe <br /> , <br /> earl Pimentai City of E,es <br /> Virginia Mathews City 01 Mom <br /> Daniel L sten, (209) 466.6781 City of f1i, <br /> John D.Moot,M.D, City of 3190 <br /> Joel Khanna,M.D.,M.P,H„District Health OMleer r K, City of Tr <br /> Done 8,graham <br /> son Joaquin Cot <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 5 <br /> hereby authorize <br /> to release any and all analytical results , gootechnical data and site <br /> assessment information to the San Joaquin Local Health District as soon <br /> as it is available and at the Same t is providud to me or my <br /> representative, j^ <br /> 9 Own /Operator, <br /> Add res �,O//yQ_- cr�o�•IQ.c\teat _l Jy_. --.__ >hone : oZ�-Q�'� -S/2 <br /> Date; <br /> 9 <br /> EI-1 23 041 3/86 <br /> fill 1 <br />