Laserfiche WebLink
OSAN JOAUMN LOCAL HEALTH PSTRICT <br /> �•^•. CuiL+•.t.on, rr.a SERVING <br /> MaF <br /> P-t' la E. Lor•, cl. r+•• 1641 East Hazetton Avenua, P.O- 90K 2009 Ctty of Lodl <br /> PaL4*la J. Yannued, 6•*'y San Josquln County <br /> E <br /> f aft rtm•nt•1 y Jay*. Stockton, Callfornla 95201 San Joaquln County <br /> n <br /> stsioatato <br /> Vlrg444 Mathews Ctty of CRY of E <br /> Dar"L Ftor•• (209) 4 66-678 1 ■ <br /> cny 04 rarpon <br /> John O.M.al,M.O. City of 5lackton <br /> S. Kfaham Jogl Khaco%a-M.U.,M.P-H.,Dktr"H•stth otac" City tocktoy <br /> San Jo%qukt 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 <br /> y facility <br /> located at <br /> �Tarious. San Toa uin Count locations <br /> + Hereby authorize Canonie Engineering, Inc. <br /> to release any and all analytical results geotechnical data and site <br /> assessment information to the San Joaquin Local 1(calth District as soon <br /> as it is available and at the Name time it is provided to me or my <br /> rel�resentntive . <br /> Sa JoacjuiNYCAA"t, <br /> unty Government Buildings <br /> 2- <br /> Owner/01)cara tor ; D nnis Marciasini <br /> Tit1Assistant Director <br /> G; <br /> n(trtt-c:>:, 1722 E. Scotts l3venue <br /> -- Phone <br /> Date : —'ju-j 20 19$B <br /> ENVIROMENTAL HEALTH <br /> FERMIT/SERVICES <br /> E11 08 <br />