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30ARO OF TRUSTEES SAN JOAQUIN LOCAL HEALTH DISTRIC. I SERVING <br />;amen Culbertson, Pres. City of Lodi <br /> Bary Anna Lore,Vice Pre&. 1601 East Hazelton Avenue, P.O. Sox 2003 San Joaquin county <br /> 'avicia E Vannucci,Secy. San Joaquin county <br /> ommy Joyce Stockton, Carrtornia 95201 City of Escalon <br /> ears Pimenlef Ctty of Manteca <br /> Trginia Mathews (203) 466-6781 City of Npon <br />]aniel L Flores City of Stockton <br /> lohn O. Mast,M.D. Jogi Khanru, M.D., M.P-X- Di-bi tteam OtCicer City of Tracy <br />;ene S. Kraham San Joaquin County <br /> AUTHORIZATION TO RELEASE ANALYTICAL RESULTS , GEOTECHNICAL DATA AND <br /> SITE ASSESSMENT INFORMATION <br /> I . the undersigned owner and/br operator of the property and/or facility <br /> located a I t 1025 E. Park St. Stockton, Ga. <br /> hereby authorize Canonie Enoineering ,Services' T Stockton, Ca.` ' <br /> to release any and all analytical results, geotechnical data and site <br /> 4sses.sment 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: Monty Case r /—Ti tle: Owner/Operator <br /> Address 1025 E. Park Street /'S.0�-n. Ca. 95205 Phone: (209) 948-6465 <br /> Date: January 24, 1989 -- <br /> EH 08 OS 'UGT 13 <br />