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AN .ti A0 JIN 1-0} ,n.1 ' LAL i 11 (;IS (f4K,T <br /> COr of lodf <br /> rV 5-, .,Tca.;u7n Cuunl► <br /> s V��. `�;,� �`�en lbfll Earl l{:ireiton A�'Cnt,r�, P. f3. fjQx 2(109• . <br /> ,,^t,s�e:a V r - C1ty of Escalon <br /> Em,I Slol.klon, C_51llrornia 952011 _ City of f.t&nlecs <br /> 4frt unEjea 2 r��i 7Ta� City e!Ripon <br /> lanlel f-. Flores <br /> Clty of Stockton <br /> to Mast. MA),. * City at Tracy <br /> 3'1{It! n J. IrdpQa. _ Jopl Kf-nna. W D., M.P 14.. District Health Officer San Joaquin County <br /> ■ Dove San Joaquin County <br /> } <br /> AUTHORIZATION TO RELEASE ANALYTICAL RESULTS. GEOIECNNICAL DATA AND <br /> SIZE ASSESSMENT INFORMATION <br /> I. the undersigned owner and/or operator of the property and/or +fat_ility <br /> located at � 192-56 NORTH HWY' 99 , ACAMPO,CA 95220a -- - <br /> hereby authorize Canon e�Engineer_ing, 33 IV. March Ln. , Sto_c.kton,CA 95207 <br /> to release any and all analytical results . -)t+-chniral data and site <br /> assessr.-lant infoi- ation to the .San JoAyuin I al Health Dist Girt as soon <br /> as it is available and at the same ti1E-e it is providr>d to nye or my <br /> representative_ <br /> JIM FRESHOUR <br /> 0wner/0p!-ra ' or: WESTERN OIL & SPREADING, INC Title: MANAGER <br /> Address 19256 NORTH HWY 99 , ACAMPO,CA 95220hone: 209-369-3631 <br /> Date: <br /> PIAN 16 g8d <br /> ENVIRQMENTAL <br /> HEALTH <br /> PERMIT/SERVICES, <br /> ,�r,T 1 .3 <br />