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rrYa� Jams CulbeAwn,Pres. JMI� JVAUUIN LUCAL HEALTI-DISTRICT SERVII <br /> P+, <br /> Mary Anna SOVe,Vice Pres. 1601 East Hazelton Avenue, P.O. Box 2009 San JoCity o1 a <br /> Pabida E.Nannuccl,Secy. llquM Cow <br /> Tommy JoStockton, Califomcity <br /> of �l <br /> la 95201 <br /> Earl Plmanlalu San Joaquin Clly�Eseal <br /> WON@ Mathe a (209) 466-6781 City of Manta <br /> Daniel Flora City of Rip <br /> John D.Mast,M.D. Jogl Khanna,M.D.,M.P.H,.DIahkl,ioleo« 'City of Slockl <br /> Gane S.Kraham tq�Kh city of Tra <br /> San Joaquin Cour <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 ��`] !II <br /> hereby authorize <br /> to release any and all analytical results <br /> � geotechnical data and site <br /> assessment information to the SanJoaquinLocal 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: Title: President <br /> Address 0 B x 4 Phone: 209-478-1624 <br /> Stockton, CA 95207 <br /> ,a <br /> Date: <br /> EH 23 041 3/86 <br /> ; i <br /> EH <br /> Fes: <br /> 'r <br />