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I I I F. NY I N ' 41 'f 4 <br /> DOARO OF TRUSTEES �,AN JOAQUIN LOCAL HEALTH L„pTRICT SERVING <br /> Jamt&Culbertson,Ptta, <br /> Mary Anna Law,Vlea Pres, 1601 Easl Hazelton Avenue, P.O. Box 2009 City of Lot <br /> Pabkia E.Vagnuccl,Sat'y, San Joaquin Count <br /> Tommy Joyct Stockton, Calllornla 95201 San Joaquin Couni <br /> Earl Plmantai City at Eacalo <br /> vitpinia Mathews (209) 466.6781 City a Mantec <br /> Daniel L Aores Clly of MPG <br /> John D.Most.M.D. City of Slockto <br /> Jogl Khanna,M,D.,M.P.H.,Oltiriet Health OtfCN :,c, City al Trac <br /> Gone S.Kranam <br /> San Joaquin Couni <br /> AUTHORIZATION TO RELEASE ANALYTICAL RESULTS, G130TECIINICAL DATA AND <br /> SITS ASSESSMENT INFURMATION <br /> I , the undersigned owner and/or operator of the property and/or facility <br /> located at 4950 West Brookside Road, Stockton, CA 95201 <br /> hereby authorize —WaterWorkor o ation <br /> to release any and all analytical results, gcotechnical data and site ! <br /> aSSOSSment information to the :±4n Jvuyulu Local 11ealth District as soon <br /> as it is available and at the same time it is provided to me or my <br /> representative . /��} <br /> a Owner/operator: �'�/, Ll�� President <br /> Address Stephens Marine Inc. Title: <br /> P.O. Box 670, Stockton, CA 95201 phone: 466-8691 <br /> F <br /> Date: January 30, 1989 <br /> Eli 23 041 3/86 <br /> El I <br />