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BOARD OF TRUSTEES SAN JOAQUIN LOCAL HEALTH DISTRICT SERVING <br /> J•n,"Culbanaon, P,•a. <br /> Mary Anne Lora,Vic*P,«. 1601 East Hatelton Avenue, P.O. ROK 2009Cly of Lodi <br /> P•Wcfa E.VennucNSen Joaquin County,aa'y. y <br /> Sen JCount <br /> Tam,ny Joy'• Stockton, Calllornle 95201 Joaquin iin Cof e nln <br /> Erd►knanlal <br /> Vl,pkda Mea*ws (209) 466-6781 City of McMace <br /> DanW L Florae City of RIPon <br /> air of sfgcklon <br /> John D.Mut,M.D. Jo91 Khanna,M.D�M.►.H,David Haehh Ofacw CRY of Troty <br /> Oona 0.Krehem sen Joaquin Caunfy <br /> AUTHORIZATION TO RELEASE ANALYTICAL RESULTS, GEOTECIINICAL DATA AND <br /> SITE ASSESSMENT INFORMATION <br /> i <br /> i , the undersigned owner and/or operator of the property and/or facility <br /> located at Various San Joaquin County locations <br /> hereby authorize Canonie Engineering, 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 /> San Joaquin County Government Buildings <br /> Owner/Operator : Dennis Marciasini Assistant Director <br /> 1722 E. Scotts Avenue Title: <br /> Address ltfone: 468-3357 <br /> Stockton, CA 95205 <br /> Date : March 23 , 1988 ( +/Lc (�s�yaf-� <br /> ENVlla�s;, IA'- hcALTH <br /> FERW/SERVICES <br /> Eli 08 05 UGT 13 <br />