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,,. <br /> mom <br /> ., SERVING <br /> SDARD uF TRUSTEES SAN JOAQUIN LOCAL HEAL H DISTRICT City of Lodi <br /> JIImea Cwts$rtson,Pro$, oan Joaquin County <br /> Patricla E.vannuccl,Secy. 1601 East Hazelton Avenue,P.A. Box 2009 City of Eacalon <br /> City of Manteca <br /> Anthonette van Spronsen Stockton,California 95201 City of Ripon <br /> Earl Pimental 2091466`-6781 City of stccwton <br /> Fern Hugbee City of Tracy <br /> Dantai L.Flores Sun Joaquin County <br /> John 0.1411$1,M.D. Jopl Khanna, M.D.,M.P.H.,District Health Officer San doaquin County <br /> William J.Wada <br /> Mary Anna Lnae <br /> AUTHORIZATION TO RELEASE ANALYTICAL RESULTS, GEOTECHNICAL DATA AND <br /> SITE ASSESSMENT INFORMATION <br /> rator of the property and/or -facility. <br /> I, the undersigned owner and/or ope <br /> located at 941 East Yosemite Avenue <br /> hereby authorize Appy GenS stens <br /> to release any <br /> and all analytical results, geotechnical data and site <br /> aquin Local Health District as soon <br /> assessment information to the San Jo <br /> as it is available and at the same time it is provided to me or my <br /> representative. <br /> _ Title: <br /> Owner/OpPhoneng3-r��0el4� <br /> Address <br /> a. C�S <br /> Date: <br /> EH 08 05 <br />