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BOAR <br /> amen of rtson, is SAS! JOAQUIN LOCAL HEALTH DISTRICT <br /> �.m.a cuiaanaon, Pies SERVifaO <br /> Patricia E, vennuect. soc'y CifyofLodl <br /> Anth,`—'4 Van SPfnn,on 1601 Easi Halellon Avenue, P. 0. ®ax 2049 San Joaquin County <br /> Earl ' nld Stocklon, California 9520+1 city of E3caion <br /> Fern Supoav City of Monteca <br /> 3anlei L. Flores 20g/466-6781 City or Ripon <br /> form 0. Masi, M.D. City of Stockton <br /> Nifilam J.Wade JOQi Khsnna.M.D.s M.p.H..District Hasaln 01ficar City of Tracy <br /> Aary Anne Lova San Joaquin county <br /> 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 Port of Stockton. 2201 W. Washington, Stockton, CA <br /> hereby authorize Canonie Environmental, Stockton, CA <br /> to release any and all analytical results, geotechnical data and site <br /> a--_ Sslnent information to the San Joaquin Local Health District as soon <br /> as it is available and at the same time it is provided t0 me or my <br /> representative. <br /> PORT OF STOCKTON �7 <br /> Owner/Operator: � Title: <br /> Addre.s P. 0. Box -2089 - Phone• 946-0 46 <br /> Stockton. CA <br /> -------------- <br /> Date: Zj- <br /> i <br /> EN 08 05 UGT 13 <br />