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BOARD OF TRUSTEES SAN JOAQUIN LOCAL HEALTH DISTRICT SERVING <br /> James Culbertson,Pres. 11 City of Lodi <br /> Mary Arma Love,Vice Pres. 1601 East Hazelton Avenue, P.O. Box 2009 San Joaquin County <br /> Patricia E.Vannucci,Secy. San Joaquin County <br /> Tommy Joyce Stockton, California 95201 City of Escalon <br /> Earl Pimenlel d City of Manteca <br /> Virginia Mathews !1 (209) 466-6781 City of Ripon <br /> Daniel L.Flores ' City of Stockton <br /> John D.Mast,M.D. �� Jogi Khanna,M.D.,M.P.H.,District Health Officer City of Tracy <br /> Gene S.Kraham San Joaquin County <br /> 4 <br /> i <br /> ;i <br /> AUTHORIZATION TO RELEASE ANALYTICAL RESULTS , GEOTECHNICAL DATA AND <br /> SITE ASSESSMENT INFORMATION r <br /> Ij Ij <br /> I <br /> I , the undersigned owner and/or operator of the property and/or facility <br /> located jat 45 East Harding Way, Stockton, CA <br /> i <br /> hereby authorize EA Engineering; Science and Technology, Inc. .I <br /> it <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 /> Owner/Operator: CJevron U. " Title: / <br /> Address 2 Annabel Lane, Suite 200; San Ramon, CA 94583 Phone : (415) 838-5300 <br /> .I <br /> u IE <br /> Date: <br /> e <br /> i <br /> r <br /> JUN <br /> { <br /> ENVIRUtviti'<IAL HEALTH <br /> i� <br /> F ERA11T/SERVICES <br /> v I <br /> Ij <br /> s <br /> 1� <br /> i� <br /> i <br /> EH 08 05� UGT 13 <br />