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BOARD OF TRUSTEES SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> James Culben,on, Pre,. SERVING <br /> Patricia E. Vannuccl, Secy City of Lodl <br /> Anthonette Van Spron,sn 1601 East Hazelton Avenue, P. O. Box 2009 San Joaquin County <br /> Earl Pimentel Stockton, Callfornia 95201 Cityof oa <br /> Fern Supbee C11y of Manteca <br /> Daniel L. Flores 209/466-6781 City of Ripon <br /> John D, Mast, M.D. City of Stockton <br /> City of Tracy <br /> William J. Wade Jopl Khanna, M.D., M.P.H., District Health Officer San Joaquin County <br /> Mary Anna Love San Joaquin County <br /> SEP 3 0 1987 <br /> ENVIROMENTAL HEALTH <br /> AUTHORIZATION TO RELEASE ANALYTICAL RESULTS, GEOTECHNICAL JA�M�T./SERVICES, <br /> SITE ASSESSMENT INFORMATION <br /> r+� <br /> I , the undersigned owner and/or operator of the property and/or facility <br /> located at 8134 Heather, Stockton, CA <br /> hereby authorize Canonie Environmental <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 /> J�3,g1 <br /> Owner/Operator: ti v r ,, ,N Title: <br /> Address 8134 Heather Phone: 478-2271 <br /> Stockton, CA <br /> Date: <br /> EH 08 05 UGT 13 <br />