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• . ewe«l.oM, p,,, 61'111 JOAUUIN LOCAL 11LALT11 0- 111ICI <br /> M.,y AnM.Lor., v c. r,« $En VIMG <br /> r.ulc(. E. v,nnuccl, e.c'r 1601 E..1 H.[ellOn Avenue, P.O. RON 2009 City w Lodi <br /> f Downy Jeyc. 14"J.-Wn Counly <br /> E.d r(m.n(.( Slocklon. Celllo(nle 95201 S.n Jo.quin CouM(y <br /> V119". M.e,... City M E. 41" <br /> 0.,.(.(L f(o,.. (209) 466-67a 1 CKy of M.M.C. <br /> John O.M..(,M.O. CITY of nlro.. <br /> O• S.Kr.h.m Joy(Kh« M.D�M.p."'D(.b/c111..re.oMk« city of Stockton <br /> City M rr.cy <br /> 6.n Juquln County <br /> AUTHORIZATION TO RELEASE ANALYTICAL RESULTS, GEOTECHNICAL DATA AND <br /> SITE ASSIiSSMENT INFORMATION <br /> 1 <br /> 1 , the undersigned owner and/or <br /> located at operator of the property and/or facility <br /> Various San Joa uin County locations <br /> hereby authorize Canonie Engineering, Inc. <br /> to release any and all analytical results , <br /> geotnical data <br /> assessment information to the San Joaquin Local ellealti, Districtdasisoon <br /> as it is available and at the :;amc time it is provided to me or my <br /> representative - <br /> { SaJoaquit}}��C�oun�y Government Buildings <br /> /Y YJYIQKLs��w <br /> Own er/01)crat0r : D nnis Marciasini <br /> 1722 E. Scotts Avenue Title: Assistant Director <br /> A d d r e:;e; -4 6-9-3 <br /> r — <br /> U;LCe — <br /> __July 20 19RR <br /> L 1 <br /> ENVIROMENTAL HEALTH <br /> FERMIT/SERVICES <br /> EH 08 05 UGT 13 <br />