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" I <br /> eos<R0 Of 1au5rEE5 <br /> SA,._. ;,JAQUIN LOCAL HEALTIA DIS .: ,iCT SEltvlNa i <br /> Jamas Culbertson. Pies, <br /> Lodi <br /> Pairicla E. Vannuccl. Sec'y' SanJ. City ofoagwlnContnlCount <br /> 160.1 (wast Hazelton Avenue, P. 0. Box 29 <br /> Anthonette Van 5pron�en ' 0DClti�of Escelon <br />' Earl Pimeniel Stockton. California 95201 City of Maniac& 1 <br /> fern Bugbee City of Ripon <br /> Daniel L. Florey 2091466-67(31 <br /> City o!Stockton <br /> John D. Most. M.D. � <br /> City of Tracy . <br /> William J. Wada Jogl Khanna, M.D.. M.P.H., District Heaith.Officer San Joaq'uln County <br /> Mary Anna Love San Joaquin County <br /> C(o <br /> Py <br /> f <br /> AUTHORIZATION TO RELEASE ANALYTICAL RESULTS. GEOTECHNICAL DATA AND <br /> SITE ASSESSMENT INFORMATION <br /> I. the undersigned owner and/or operator of the property and/or facility <br /> located at 429 W. TACKEFORD, LODI CA. MAR VAI. FOOD STORE. <br /> hereby authorize NELSON / FGL ENV IRDNMENTAL, - STOCK'TON CA• <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 sarne time it is provided to me or my i <br /> representative, <br /> Owne�./Operator: Ti t e:: OwNER <br /> Address 816 W. LUCAS, L,ODI CA. Phones 369 12$1 <br /> Date: 4 JULY 1988 <br /> " t <br /> . i <br /> i <br /> r <br /> t <br /> 1 <br /> " 1 <br /> fit r%n r�r . Ilr..T 11 __ i <br />