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BOARD OF TRUSTEES SAN JJAQUIN LOCAL HEALTH DISTRIPI" SERVING <br /> James Culbertson,Pres. City of Lodi <br /> Mary Anna 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 Pimentel City of Manteca <br /> Virginia Mathews (209) 466-6761 City of Ripon <br /> Daniel L Flores City of Stockton <br /> John O.Mast,M.D. Jogi Khanna,M.D.,M.P.H.District Health officer City of Tracy <br /> Gene S.Kraham San Joaquin County <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 ,6n6 patifir Arranna Rt nrkt.nn ('a1 ifnrria <br /> hereby authorize Kaprealian Engineering Inc . <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: A�j , f ��, <f Title: GCvi20ti'/ytti igL <br /> Address a L7,5 A'- qLl;' J/A A& S It CiPhone: 14)S--aN5-767ti <br /> Date: May 23 , 1988 <br /> EH 08 OS UGT 13 <br />