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SEP 21 188 11'05 APPI-IED SOIL ME(-HAN. <br /> qua" •�, Kus c s SAN JOAOUIN LOCAL HEAL T�H DISI RICT <br /> s[ItvINci <br /> Jn!A4r GwfLonson, Pres, <br /> 91yof Lodi <br /> Prft�t:�a , a.�riu[Cf, s't`y. 1601 East Hazelton Avenue. P. D. Box 2009 'Son,:atqulftCo*ty <br /> AAthonstte Van Stxons•n , <br /> Eafl mani.i Stockton. California 95201- cls a Es etaCa 1e ei <br /> arA BupO Cfiy of 11Aa <br /> OanQ L Floras i X0914613.6781 Mr of Alp" <br /> John 0. Most. M.O. � GIIy of 5iocltlon <br /> William,J.W840 J001 Khanna. WA..l -P.11.. Disifict Health officerCiiy o1 Yrsctl <br /> Sen laaqu(a County <br /> Maty Anna i.ar* i $RA Joaquin Comity. <br /> v RE,C1=lYl~D. <br /> OCT 12 1988 <br /> ENVIRONMENTAL HEALTH <br /> - PERMIT�S�RVICES - <br /> AUTHORIZATION TO RELEASEIANALYTICAL RESULTS, GEOTECHNICAL OATA AND <br /> SITE ASSESSMENT INFORMATION <br /> 1, the undersigned owner,,_. �r operator of the property and/or fatality <br /> located at DO G ` Lou{ <br /> hereby authorize LLI et7 �zr. �..._�� <br /> torelease any and all analytical resO ts. geotechnical- data-.and.,site <br /> asses inform:ltion to the San Joaquin- Local Health District- as soon- <br /> 11S it is available and at the same time-fist. is provided to tae or.may <br /> representative. . <br /> 7`i t1e:, <br /> Address C,-0 Phone: <br /> LQ Lr <br /> Dater <br /> a . <br /> EH 08 05 UG? 13 <br />