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—IRV <br /> y , <br /> r SERVING <br /> City of Lodi <br />-- BOARD OF TRUSTEES SAN ,IOpQUlN LOCAL HEALTH DISTRICT San Joaquin County <br /> James culbertoon, Pres, P.�•Box�� city of Escalon <br /> Pairicis E.Vannuccl.Sec±y. 1601 East Hazoiton Avenue, city of Manteca <br /> Arshonelte Van Spronaad Stockton, Caflfornia 95201 city of Ripon <br /> E'., -'Imentel 209/d86 8781 City of Stockton <br /> Fe,„ Supt '3 CitYofTracy <br /> Daniel L. FiorasSan Josquin County <br /> John D.Mast. W"D• JoUl Khanna. M.D.. M.P.H., DI-Wict Health 0111aer SanJoaquin County <br /> William J.Wade <br /> Mary Anna Lovn <br /> i. <br /> AUTHORIZATION TO RELEASE ANALYTICAL RESULTS, GEOTECHNICAL DATA AND <br /> SITE ASSESSMENT INFOp,%4TION <br /> Property and/or facility <br /> 1, the undersi , <br /> gned owner and/or operator <br /> of e prop e L1A . <br /> located at F 00 <br /> hereby authorize S-- � eotechnical data and site <br /> to release any and all analytical results, g <br /> assessment information to the SanJoaquin <br /> Local <br /> is pro ailed Dth District <br /> or my soon <br /> time a's ir is available and at the same <br /> representative. <br /> � f Title: <br /> Owner/Operator 1'72 <br /> �-0 , .Z , <br /> s Phone: <br /> Address L �`..- <br /> i <br /> Date: <br /> t <br /> r ` <br /> EH 08 05 <br /> i <br />