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a OHAO Of IAusicts SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> lama, Colban.on. r.... SEnvINO <br /> P.plcl. E. V.nnoccl, S.c'y Cllr of Lodi <br /> Anlhon.u. van Swon+.n 1601 East Hazellon Avenue. P. O. DOa 2009 San Joaquin county <br /> Eul Pl.n.nlal Stockton, Callfornia 95701 city of E.c.lon <br /> F.,n 0e00.. city Of M.nl.c. <br /> Oanlal L. Flo(aa 209/466-6781 City of Rlpon <br /> John 0. Mast. M.O. City of Stockton <br /> William J. Wade Jopl Khanna, M.O., M.P.N., District Health of Tcacy Naalih Offlcw San Joaquin County <br /> Mary Anna Love 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 facility <br /> located at 4bli� W. )L�e)je2 (� 1 . Lel)) cA <br /> - t <br /> hereby authorize L`lftL(ri7z2 -kk WJkTZ=R LAS <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 /> representativ_ I tt <br /> Owned'/Operatcy: Dtle V4 Title: U <br /> Address �(o� LY ), iLli'LtiJx _ Phone: <br /> Lo 3�Iiai C A <br /> Oa Le : <br /> f it nn nc nr.l L3_ <br />