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BOARD OF TRUSTEES SAN JOAQUIN LOCAL HEALTH DISTRix f SERVING <br /> City of Lodi <br /> James Culbertson,Pres. San Joaquin County <br /> Mary Anna Love,Vice Pres. 1601 East Hazelton Avenue, P.O. Box 2009 San Joaquin County <br /> Patricia E.Vannuccl,Secy. City of Escalon <br /> Tommy Joyce Stockton, California 95201 <br /> City of Manteca <br /> Earl Pimentel (209) 466-6781 City of Ripon <br /> Virginia Mathews City of Stockton <br /> Daniel L.Flores City of Tracy <br /> John D.Mast,M.D. Jogl Khanna,M.D.,M.P.H.,District Health Officer San Joaquin County <br /> Gene S.Kraham <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 Chrisman Road Tracy, CA 95376-5000 <br /> hereby authorize Pomona Valley Equipment Rentals, Inc. <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 /> Director, Office of <br /> Owner/Operator: FRED J. URKETT, LTC, USA Title: Installation Services <br /> Address Chrisman Road, Tracy, CA 95376-5000 Phone: (209)832-9010 <br /> Date: 13 January 1988 <br /> LN�IiR�J11T/SER�H�5TH <br /> EH 08 05 UGT 13 <br />