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' 89 05/22 1 3 214 233 036' •GLLFS CORP. G2 <br /> BOARD OF TRUSTEES SAN JOAQUIN LOCAL HEALTH DISTRICT SERVING <br /> James Culbertson,Pru. City of Lodi <br /> Mary Anne Love,Vice Pres, 1601 East Hazelton Avenue, P.O. Box 2009 Sit'Joaquin County <br /> Patricia E.Vannuccl,See'y. 6rn Joaquin County <br /> Tommy Joyce Stockton, Calilornla 96201 City of Escaion <br /> Earl Plmentel City of Manteca <br /> virglnla Mathews (209)466.6781 City of Ripon <br /> Daniel L Flores i city of Stockton <br /> John D.Mail,M.D. Joy]Khania,M.D.,M.P.N.,District Health Mor City of Tracy <br /> Gene S.Kraham San Joaquin County <br /> AUTHORIZATION TO RELEASE ANALYTICAL RESULTS, GEOTECHNICAL DA ['A AND <br /> SITE ASSESSMENT INFORMATION <br /> l <br /> I , the undersigned owner and/or operator of the property and or fac ' lity <br /> located at 'Lodi Overhead Door Company, 1220 East Victor Rd . , Lodi , �Californ.fa <br /> hereby authorize Remediation Services , Inc . of Pleasanton, C <br /> to release any and all analytical results , geotechnical ctatla and sijte <br /> assessment information to the San Joaquin Local health Distr ct as goon <br /> as it is available and at the same time it is provided to me or my <br /> representative. <br /> Owner/Operator: ( � Title . a <br /> Address Dallas Co ration Phone: - , 11 <br /> reeway, •e . <br /> Dallas , Texas 75380-9046 <br /> Date: 5/22/89 <br /> l <br /> P:H 23 041 3/86 <br /> II <br /> I <br />