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ws r. p <br /> &0/6/7-A <br /> ao'&Ag OF lnustEES SAN JOAQUIN LOCAL HEALTH DISTRICT SEftiviwo <br /> ,James Cvlborteon. PreF City of Lool <br /> Ple E.Vannuccl. S061601 Cast Haxetlon Avenuo, P.O Box 2009 San Joequlncounly <br /> AM,natio vin Speonson Clty of Efcelon <br /> earl Pimanlal Stockton,California 95701 Clty of Mantle@ <br /> Fern Guat>es 209/466.6781 City of nipon <br /> panlol L.Flans. City al stochlon <br /> John p,Masi, M.D. clly of TFocy <br /> j William J.Wena Jopl Khanna. M.D., M.P.H., District Hoaim otncar Son Jokquln Counly <br /> Mery Anna Lore San Joaquin County <br /> i <br /> g <br /> AUTHORIZATiOIJ TO .RELEASE ANALYTICAL RESULTS, GEOTECHNICAL DATA AND <br /> SITE ASSESSMENT INFORMATION <br /> i <br /> 1, the undersigned ownerand/or operator of the property altid/or facility ' <br /> located at 260 E. .Pain Street, Manteca, CA <br /> Hereby authorize Canonie Environmental, Stockton, CA 483-1340 <br /> ! 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 /> r l <br /> Owner/Operator: -T . thvn er �eG <br /> -Address53b Yale St� phone: L415-5C35-mi9_ <br /> San Francisco, CA 94134 <br /> r � <br /> Date: <br /> � 1 <br /> r <br /> T <br /> �V. .. _ <br />