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h <br /> i SOARO OF TRUSTEES SAN JOA& ,�OCAL HEALTH DISTRICT SERVING <br /> James Culbertson. Pres. City of Lodi <br /> Patricia E. Vannuccl. Secy 1601 East Hazelton Avenue, P. O. Box 2009 San Joaquln County <br /> Anthonstte Van Spronsen City of Escalon <br /> Earl Plmenlel Stockton, California 95201 City of Manteca. <br /> Fern Bugbee 209/466-6781 City of Ripon <br /> Daniel L. Flores City of Stockton <br /> John D. Mast. M.D. City of Tracy <br /> William J. Wade JoUl Khanna, M.O., M.P.H., District Health Officer San Joaquin County <br /> Mary Anna Love San Joaquin County <br /> AUTHORIZATION TO RELEASE ANALYTICAL RESULTS, GEOTECHNICAL DATA AND <br /> SITE ASSESSMENT INFORMATION <br /> .t I . the undersigned owner and/or operator of the property and/or facile y <br /> located at IOT N. School Street, Lodi , CA <br /> hereby authorize Canonie Environmental <br /> torelease any and all analytical results, geotechnical data and site <br /> as 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. 4�� <br /> Mark Newfield <br /> Owner/Operator: —/ Title: ` �1I �4+��100C O•✓ <br /> Address <br /> . 0. Box Q Phone. 334-453 <br /> Woodbridge, CA 95258 <br /> Date: / <br /> I <br /> EH 08 05 UGT 13 <br />