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BOARD OP TRUSTEES SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> James Culbertson, Pres, SERVING <br /> Patricia E. Vannuccl. Secy City of Lodi <br /> Anlhonette Van Spronsan 1601 East Hazelton Avenue, P. O. Box 2009 San Joaquin County <br /> Earl Plmeniel Stockton, California 95201 City of Escalon <br /> Fern BupDee City of Manteca <br /> Daniel L. Flores 209/466-6781 City of Ripon <br /> John D. Mast, M.D. City of Stockton <br /> William J. Wade Jopl Khanna, M.D., M.P.H., District Health Officer City of Tracy <br /> Mary Anne Love San Joaquin County <br /> San Joaquin 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 5023 N. Floor Road, Linden , CA 95236 <br /> hereby authorize Canonie Engineering <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: G Title: 6 <br /> Address p Z o Phone: <br /> /i liJF�� Ca 95 Z3 C <br /> Date: f/u-,�;, <br /> EH 08 05 UGT 13 <br />