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• '• • -'• '"'-- "' � J/SIV_„/I�VUIIV I_VV/�L IILI'�l_ I II VJ .,��1 SLAYIM� <br /> J.rnea Cvlpanson• P..s. City of Lodi <br /> Patricia E. Va^^"cct. Secy. 1601 East Hazetton Avenue P. 0. Bo: 2009 San Joae)uMcounty <br /> n <br /> Anthonatta Van Sproaen ' City 0 Escalon <br /> Earl Plrnental Stockton.California 95201 City o1 Manl ace <br /> Fern "t>« 209/f66 6781 GtyofRipon <br /> Clarifier L Florae city of Stockton <br /> John O. Mast. M.O. City of Tracy <br /> William J. Wade Jopi Khanna, M.o.. M.P.H.. Oletrlct Health 0111CW San Joaquin County <br /> Mary Anne Lore San Joaquin County <br /> o � <br /> AUTHORIZATION TO RELEASE ANALYTICAL RESULTS. GEOTECHNICAL DATA ANDN��RM\f15�Rv�CLs <br /> SITE ASSESSMENT INFORMATION <br /> I. the undersigned former lessee of the property and/or facility <br /> formerly located at L( 4 Ll North Pershing, Stockton, 61iforpia <br /> hereby authorize' EA Engineering, 'Science, and Technology, 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 /> Former Lessee of Property: h _ 146;Zz. ,Z_ Title: F�vvszovNErrTeL <br /> Address 6;' " cp -:&A Phone: L-7ra) <br /> Date: -7/P/& 7 <br /> a ' <br /> EH 08 OS UGT It <br />