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it <br /> I <br /> SOARD OF 'fMltiSTM SAN JOAQUIN LOCAL HEALTH DISTRICT 66"VINQ <br /> C4gr 4f Ludl <br /> P.O.Som 2409 ! elro oaun0�r <br /> ,r Lade,Vias Pte. 1601 IFaat Naneften Avenue, <br /> trey BEocIdan,CaNtgrnla f0201 �h N ia�lmn <br /> t3AA 1a1 Ciq of manwe r <br /> wbokid M (200)400.0701 G y at RIO" <br /> DOW L Fkmor of vow" <br /> 4*4 0.M"%MAD. Jo@I 14i+leAlRi.M.01 M.aPM4 okum""M com ra"y <br /> 0*"0. "it daapuld QW* <br /> AUTHORIZATION TO RELEASE ANALYTICAL RSSULTe6 OSQTSCHNNICAL DATA AND <br /> SITE ASSESSMENT INFORMATION <br /> I <br /> I , the undersigned owner and/or operator of the property and/or faoility <br /> located at 950 West 11th Street, Tracy, California <br /> hereby authorize Womte= Geo a Engineare and/or Welton Engineering$ <br /> to releame any aad all analytical results, geotechnioal data and site <br /> assessment information to the Baa Joaquin Local, Health Diatriat as soon <br /> 1 <br /> .s it im available and at the same time It is provided to me or my <br /> "representative. f <br /> Owne U erator: Title: Director. Environmental <br /> re <br /> AAddress �.�. sax 1601 Phone.: 644-6784 <br /> Qangrd. CA 93032-1601 <br /> Date: 4/79/88 <br /> -i <br /> A <br /> Edi 08 05 VG ' 13 <br />