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BOARD OF IAVSIEES <br />Jamas Culbertson. Pies. <br />Palrkla E. Vannuccl, SeC'y <br />Anthonalle Van Spionsen <br />Earl Pimentel <br />Farn Supbee <br />Daniel L. Flores <br />John D. Mast. M.O. <br />William J. Wade <br />Mary Anna Lore <br />SAN-�OAOUIN LOCAL HEALTH DISI,-s7CT <br />1601 East Hazelton Avenue, P. O. Box 2009 <br />Stockton, California 95201 <br />209/466-6781 <br />Jopl Khanna, M.D., M.P.H., District Health Officer <br />AUTHORIZATION TO RELEASE ANALYTICAL RESULTS, GEOTECHNICAL DATA AND <br />SITE ASSESSMENT INFORMATION <br />la the undersigned owner and/or operator of the property and/or facility <br />located at 104 W. llst TYacy, cal. <br />hereby authorize ,MEL, N LABORATORY of Stockton Cal. <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 />Owner/Operator:A Title: O6jNER <br />Address MR, LAMBERT BARS Phone: 7,)13 lrr,4 <br />P.O. BOZ 1071, SAN ANDREAS, CAL 95249 <br />Date: 28 July 1988 <br />111 08 05' WIT 13 <br />SERVINO <br />City of Lodi <br />Sen JoaQuln County <br />City of Escdon <br />City of Manleca <br />City of Ripon <br />City of Stockton <br />City of Tracy <br />San Joaquin County <br />San Joaquin County <br />