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oar u�u�u/s SANK KOUINLOCALIi[ALTHDISII � <br /> ��m•, Cu14.1laon, P�•a• <br /> Palrlcla e• Vannuccd. Sac-y. SLAvmo <br /> Anlhonwt• Van Spronaan 1601 East Hazelton Avenue, P. O. 80!< 2009 San Joavuln county <br /> Cllr of Lodi <br /> E•d PMn•nt•l <br /> F414nvpboo Stockton.Catl(ornia 95201 City of Eacalon <br /> Daniel L Flores 209/4tifi 6781 city of Manl- <br /> Joho D. Mast, M.D. city of Ripon <br /> ace <br /> WlfilaJ.Wade Jopl Khans - Cltyof Stockton <br /> Mary Anne <br /> Anna Low 1 M.D, M.P.H.. Dhlrlcl Hadth O((1cw Gtyof Tucy <br /> San Joavuln County <br /> San Joavuln County <br /> AUTHORIZATION TO RELEASE ANALYTICAL .RESULTS, GEOTECHNICAL DATA AND <br /> SITE ASSESSMENT INFORMATION <br /> I, the undersigned 9 tam <br /> located at US er and/or operator of the Property and/or facility <br /> _€ Harrd(n <br /> hereby authorize EA Engineer ng, 'Scieand TechnologyaInc.� <br /> to.release any and all analytical results geotechnical data and site <br /> fnfoy <br /> •ssesslt>ent ulation to the San Joaquin Local Health District as soon- <br /> as 1t is available and at the same time it i <br /> representative. s provided to me or my <br /> Otm4/Operator: u`5&T- <br /> Address ud' kFitle: <br /> �iL^ �z►6ti . �`:--� Phone: v 2— <br /> Date:Date: <br /> EH nn nc Hr.T �z <br />