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60AA0 of IAVSI(CS SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> P.IiIC l. E. V.nn..c U. S.c'r 1111i'yT ,Lj`/ Clly offoal <br /> Anlhonan. v.n Swon..n 1601 East Ha2ellon Avenue, P. O. Boa 2009D uln County <br /> E.,I PIm.N.I Stockton, California 95201yol Eacalon <br /> F.,n n,.vo.. JAN 14 iW7 City o, ManteC, <br /> Daniel E. Flows 2119/466.6781 Cllyor Ripon <br /> John o. Maal, M.D. ENVIROMENTAL HEAL41Wo1Slocklon <br /> William J. wad. Jopl Khanna, M.O., M.P.H., District Health Oilier FERMITAERVICES Ctly of Tracy <br /> Mary Anna lo.a San Joaquin County <br /> San Joaquin County <br /> AUTHORIZATION TO RELEASE ANALYTICAL RESULTS, GEOTECHNICAL DATA AND <br /> SITE ASSESSMENT INFORMATION <br /> 1 , the undersigned owner and/or operator of the property and/or facility <br /> located at Carnation, Can Division 1815 avy Drive Stockton, CA 95201, <br /> hereby authorizen�- C'�F0�N1 �Z74— <br /> -- <br /> to release any and all analytical results, geotechnical data and site <br /> assessrnent 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 /> Ownerr/Operator: TitIe: <br /> Address Carnation, Can Division Phone: (209) 466-1031 <br /> 1815 Navy Drive P.O. Box 270 Stkn. 95201 <br /> Datc : January 9, 1987 <br /> ru no nr urT it <br />