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SA <br /> cuttLenson, r�.,_ N .kOUIN LOCAL N ALT1-i 01S M <br /> I <br /> alcfa E. vannuccl. seer. S S(fiv�itt) i.' <br /> 7 <br /> n1Aonatte Yen S . Cur of todt ,. <br /> p�onaen 1601 East Hazt!Iton Avenua. P. O. Box 2009 S`an Joadutn County <br /> ed Plinente{ <br /> .rRLAuptyee Stockioq,Callfornia 95201 Gtr Of Etc&ion <br /> anal[.. Ftorea C{ty of Matti' <br /> )An 0. Most. M.Q. , 2a9/46s�781 City of <br /> Ripon <br /> 'altar J.wade City of Stockton <br /> E3 a '7 <br /> ary Anna i ova JoQ{t�t►a�nar {+t-0..'t+t.P_H., x]Odd ROOM Oracer CRY of Tracy . <br /> 4 Stn Joaquin County <br /> San Joaqutn County <br /> I <br /> E <br /> AUTHORIZATION TO RELEASE ANALYTICAL. RESULTS. GEOTECHNICAL FIAT , <br /> SITE ASSESSMENT INFO RMATtOH A ANa <br /> i <br /> W <br /> Ie the undersigned <br /> owner and/or operator .of lthe 6mperty and/or facility <br /> located at 36 E. Fver►,a„fi . Ave. J + <br /> hereby ' I. _ - <br /> authorize Engineezing, 'Science, and Technology, Inc_ . <br /> to,r�elease any and all, analytical results <br /> geotechnical data and site <br /> Asscssment information, <br /> to the San :Ioaquin Locall Health District as soon- <br /> as it is available and; at the same tfitae it is provided to me or tiiy <br /> ti E. <br /> representative. <br /> OKn40perato r: <br /> AddressGh - �f\ [� G!; itle: 3 <br /> Phone: 3 <br /> 04 t e: <br /> i <br /> I; <br /> r <br /> l f l q <br />