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BOARD OF TRUSTEES SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> SERVING <br /> James Culbertson, Pres. <br /> Patricia E. Vannuccl, Secy City of Lodi <br /> Anihonelte Van Spronson 1601 East Hazelton Avenue, P. O. Box 2009 San Joaquin County <br /> Earl Plmentel Stockton, Calllornia 95201 city of Ea <br /> Fern Bupbee City of Manntecateca <br /> Daniel L. Flores 209/466-6781 City of Ripon <br /> City of Stockton <br /> John D. Masi, M.D. <br /> City of Tracy <br /> William J. Wade Jopl Khanna, M.D., M.P.H., District Health Officer San Joaquin County <br /> Mary Anne Love 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 433 W. Scotts Avenue, Stockton , CA <br /> hereby authorize Canonie Engineering <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 /> Stockton Door <br /> Owner/Operator:, TitIe:r k" <br /> Address 433 W. Sc is Avenue Phone: 948-0637 <br /> Stockton , CA <br /> Date: <br /> EH 08 05 UGT 13 <br />