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bUAke UI Ilruslt I , SAN )AOUIN LOCAL III AL1H DIST ;T SI RVINa <br /> J,n,e, CWDen,o n. Pie, ` C1t,of lodl <br /> .Pnncla E v.—occl. ;ec'y Sen Joapuln County <br /> az <br /> Anlhonette van Spron,en 1601 East Helton Avenuo, P. 0. Box 2(X19 <br /> City of Ea[alon <br /> Earl Pimenlet Stockton, California 95201 City of Manteca <br /> Farn Buooee City of Ripon <br /> 209/466-6781 <br /> Daniel L. Floret p <br /> City of f Stockton <br /> John D. Mast. M.D. Clly of Tracy <br /> Wllflam J. Wade Jopl Khanna, M.D., M.P.N., 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 /> I , the undersigned owner and/or operator of the property and/or facility <br /> located at Tokay High School , 1111 W. Century Blvd. , Lodi , CA <br /> hereby authorize California Watpr labs <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 /> Ownef/Operator: Lndi Unified School District Title: Facility Planner <br /> Address 815 W Dckeford Street Phone: 369-5511 <br /> Lodi , CA 95241 <br /> Date: <br /> (ImAw '2e�Al� _ <br /> a y Joan S rr, Fa ility Planner and <br /> Authoriz d gent <br /> EH 08 OS UGT 13 a <br />