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011'1+ 11 <br /> 1'•lH ,a 11'rne,,.CCI V CIIF or i udl <br /> Anll.unalla Yen Splonsen 1610AS1 11.l-yell n Avenuo. Ii. ©- BoK ftxfjo :an Joaquin Cuunly <br /> (all 1,I1nanlal Stockton, Calllofnia 95701 City at Escaton <br /> F eon Dupt)aa City of Manteca <br /> Daniel L. Floras 209/466-6781 City of Ripon <br /> John D. Mayt. M.0 city 01Stockton <br /> William J. Wada Jupl Khanna. 14.0.. M.P.".. Dlatrlcl Heallh 011lc-ar City of Tracy <br /> Mary Anna Lova 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 *faci I ity <br /> located atn Q <br /> ,44,�T?.1 AJC2 L(J> l ' <br /> hereby authorize <br /> to release any and all analytical results. geotechnical data and site <br /> 4ssessment 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 /> Owned/Operator: ;� ' Title: 4 <br /> r 1 <br /> Address Phone: <br /> 77 <br /> Date: <br /> • <br /> :H 08 OS UGT 13 <br />