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rD. Mfisl. <br /> sIEES SAN JO7�UIN LOCAL HEALTIi DISTRICT SF nvfNo <br /> on, reef. City of Lodi <br /> uccl• Secy. 1601 East Halellon Avenue, P. O. Dox 2009 San JoaQuln couniy <br /> SOronaen City or Facalon <br /> Stockton, Cafllornia 95201 City of Manteca <br /> 209/466-6781 coy of moon <br /> Clly of Stockton <br /> John M.D. City of iucy <br /> Nlfllarn J. Wade Jotil Khanna, M.D.• M.P.N.• Dfetrlcl 118111111 011lcer San Joaquin County <br /> Mary Anna Love San Joaquin Couniy <br /> AUTHORIZATION TO RELEASE ANALYTICAL RESULTS. GEOTECHNICAL DATA AND <br /> SITE ASSESSMENT INFORMATION <br /> 1 . the undersigned owner and/or operator of the property and/or facility <br /> located at 1196S-- < iAR"20,0'T A,Yc':ba _S nJ.�A <br /> hereby authorize <br /> to release any and all analytical results. geotechnical data and site 64• <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 /> 0wne�/Operator: Tear 4e itle: F vJE{7 ��e0/.vornP <br /> Address 6333 T7— Phone: 2i3— 720 — /SG¢ <br /> Los A�ge%s.� e!/J, fGtO¢o <br /> Date: �e6• B. /989._ e /lf% <br /> (/ 2-8-89 <br /> I- ED U 1009 <br /> til 00 05 UGT 13 r <br />