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3 <br /> BOARD OF TRUSTEES SAN JOAQUIN LOCAL HEALTH DISTRICT city.a City <br /> SERVING <br /> Lodi <br /> James Culbertson,Pres. <br /> Mary Anna love,Vice Pres. 1601 East Hazelton Avenue, P.O. Box 2009 San Joaquin County <br /> Patricia E Vannucci,Se-,:'y. San Joaquin County <br /> Tommy Joyce Stockton, Calitomia 95201 City of F_acalon <br /> F rt Pimentel City of Manteca <br /> Virginia Mathews (209) 466-6781 City Ripon <br /> City of Stockton <br /> Daniel l..Flores <br /> John D.Mast,M.D. Jogi Khanna,M.D.,M.P.H.,District Health Officer City of Tracy <br /> San Joaquin County <br /> Gene S.Kraham <br /> AUTHORIZATION TO RELEASE ANALYTICAL RESULTS, GEOTECHNICAL DATA A9j) <br /> SITE ASSESSMENT INFORMATION <br /> ` <br /> 1. the undersigned owner and/or Operator of the property and/or faci 1 i ty <br /> located at 4614 W. Turner Rcl . , Lodi_ , CA 95242 <br /> hereby authorize Canonie Lnvi.ronmer.tal <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 /> Owner/Operator.- --eb lstiani Vineyards Title: Administ, r•.ar. <br /> Address Boat 12 0 ','2oodbrid-e CA 95258 Phone: ( 209) 339-1311 <br /> Date: Decemher 7 , 19pe <br /> a`df <br /> EH 08 05 UGT 13 <br />