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oft 7 <br />eOARO OF TRUSTEES <br />♦•�•••. Cwtt►se9$oee, Pew.. <br />µMt Anne Lew. vice ►eww. <br />Pawl@ E. v® N. SC -Y. <br />Tommy Joyce <br />Eaa ►ImeMd <br />Mathew$ <br />Oat" L florae <br />ism O. Maal. M.O. <br />00tee l:. Kraham <br />SAN JOAQUIN LOCAL HEALTH DISTRICT <br />n SERVING ` <br />t601 East NattMon Avenue. P.O. sox 2009 ; City of Lodi <br />Stockton. California VS201 <br />JOO Khwww. M.O,. M.P.N.. « <br />SMJ06qWn cw ty <br />tiaa Poue+ty <br />AUTI{ORIZATION TO RELEASE ANALYTICAL RESULTS. GEOTECHNICAL DATA AND <br />SITE ASSESSMENT INFORMATION <br />M <br />r- <br />I. the undersigned owner and/or operator of the property and/or facility <br />located at <br />NL J o�, U,n 5-1 <br />hereby authorize L,. 13 " e Co[, p <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: �+ <br />Addreti,; 3►707 I�►vtgs ` Title: �, Csritilnee�^ <br />sU t `-1- /'hone/4. 2—.24 5`-- <br />Da <br />`— <br />X `d. i <br />Date. !'—j 3 16 <br />EH 08 o5 UGT 13 <br />