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N <br />BOARD OF TRUSTEES <br />James Culbertson, Pres. <br />Patricia E. Vannuccl, Sec'y <br />Ant to Van Spronsen <br />arl Plmentel <br />Fern Bupbee <br />Daniel L. Flores <br />John D. Mast, M.D <br />William J. Wade <br />Mary Anna Lo,e <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 <br />hereby authorize j. <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: <br />Address 3931' Newton Road, <br />Stockton. CA <br />Date: 8-19-86 <br />EH 08 05 <br />Title: <br />Phone: <br />ic(I <br />(209) 948-6268 <br />SAN JOAQUIN LOCAL HEALTH DISTRICT <br />SERVING <br />City of Lodi <br />1601 East Hazelton Avenue, P. O. Box 2009 <br />San Joaquin County <br />City of Escalon <br />Stockton, California 95201 <br />City of Manteca <br />209/466-6781 <br />City of Ripon <br />City of Stockton <br />City of Tracy <br />Jog[ Khanna, M.D., M.P.H., District Health Officer <br />San Joaquin County <br />San Joaquin County <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 <br />hereby authorize j. <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: <br />Address 3931' Newton Road, <br />Stockton. CA <br />Date: 8-19-86 <br />EH 08 05 <br />Title: <br />Phone: <br />ic(I <br />(209) 948-6268 <br />