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SA40AQUIN LOCAL HEALTH DIST*T SERVING <br /> BOARD OF TRUSTEES City of Lodi <br /> James Culbertson, Pres. San Joaquin County <br /> Patricia E. Vannuccl, Secy. 1601 East Hazelton Avenue, P. 0. Box 2009 City of Escalon <br /> Anthonette Van Spronsen Cit of Manteca <br /> Earl Plmentel Stockton, California 95201 y <br /> City of Ripon <br /> Fern BuQoee 2091466-6781 City of Stockton <br /> Daniel L. riores City of Tracy <br /> John D. Mast. M.D. <br /> William J. Wade Jogl Khanna, M.D., M.P.H., District Health Officer San Joaquin County <br /> 449aqui�unty <br /> Mary Anna Love ''s, <br /> ENVIROM ENTAL HEALTH <br /> F ERMIT/SERVICES <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 1815 Navy Drive Stockton CA 95206 <br /> hereby authorize American Environmental Management Corp. <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: _ 1 — - Title: Manager <br /> Address 1815 Navy Drive Phone-----4L 66-1031 <br /> Stockton CA 95206 <br /> Date: May 6, 1986 <br /> EH 08 05 <br />