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"" e04H0 of THUSTEES *-AN JOAQUIN LOCAL HEALTH Oi,TRICT <br /> y J•ny�Cufb n <br /> sEHytt+C <br /> M'rY La E. "ft d. '.r. 1601 East Hauetlon Avenue, P.O. BOK 2009 <br /> ►�trtc4 E.V�nnucN, Q.c'y. Cey d Lod <br /> far y Jorc• .$44 Jeaguln Count; <br /> fart I{m"I.4 Stockton. Calltomle 95201 4n Joaquin Countl <br /> VIr94'4e Metha," Gh•of Exelw <br /> Oonw L p�orM (209) 466-6181 Gly of MenNcr <br /> John O,Meet,MA. Gty of ftlpor <br /> O«N <br /> S.Krohem J094 Kh-^^L M,O,M.Pil,OkMa M..nh 0,1c.r CRY of SWCktor <br /> Gly of Troq <br /> — - .. . saft Joaquin County <br /> C-i'VVIf O:V, <br /> FERfNITjgFRV1CFS``' <br /> AUTHORIZATION TO RELEASE ANALYTICAL RESULTS. GEOTECHNICAL DATA AND <br /> SITE ASSESSMENT INFORMATION <br /> iii I , the undersigned owner and/or operator of the property and/or facility <br /> located at 4413CoLnJ VILL S-1kp'j04a- CtAMR <br /> hereby authorize _ f}l��L C CGRrJf�2 B� fJoCT Il�AtlF(c) <br /> to release any and all analytical results. geotechnical data and sit4 t <br /> assessment information to the San Joaquin Local Ilealth District as soon <br /> as it is available and at the same time it is provided to me or my <br /> representative . <br /> INCOLN PROPERTIES, LTD <br /> Owner/Operator: is ce.:er ,rt e <br /> AUUress Title: <br /> ,g ........... � 1'hvnc: 7�7YtfZOO <br /> Dale : zoo <br /> Elf 08 05 UGT 13 <br />