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"` SAI lOAOUIN LOCAL HEALTH OIS' 'CT <br /> • J.w�co`CvlWrt.oq, pr.., SERVINQ <br /> SK y, Gly of Lodi <br /> Anfhonatts Ven afxonaen 1601 Easl Hazelton logbee ' omAvenue, P. O. Box 2009 San J,.q;,t„County <br /> fore aapDos <br /> (04f Stockton Callfla85201 CatyofEacelon <br /> Cllyofity M entees <br /> M <br /> Dankf L faro. 209/468.8781 c <br /> John 0. Mast, M.D. S f on <br /> RipRip <br /> Wm4sm J.Wa& Jog1 Khanna, M.D. M.P.H.. Dlaldd Halth Offka Clly on <br /> It qty of Tracy <br /> FRary Anna Loss San Jc squirt County <br /> San Jn aqutn county <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 Zg8 Grantline Tracv California <br /> hereby authorize Canonie Perine <br /> ' <br /> En� Servi_casInc <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 /> Owned^/Operd.tor: w, T. Tordan Title: <br /> Address \7, Q� Phone: <br /> Date: 3/11/88 Q <br /> EH 08 05 UGT 13 y <br />