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BOARD OF TRUSTEES SAN OAQUIN LOCAL HEALTH DISTR* <br /> Lmer Culbert eon, Pea. SERVING <br /> Palrice E. Vannuccl, Secy. Clly of Lodi <br /> Anlhonelte Van Spronsen 1601 East Hazelton Avenue, P. O. Box 2009 San Joaquin County <br /> Carl Plmenlel SI06kton, California 95201 City of Escalon <br /> Fern Bupoee City of Manteca <br /> Daniel L. Flores 209/466-6781 city of Ripon <br /> John D. Mast, M.D. City of Stockton <br /> City of Tracy <br /> William J. Wade Jopi Khanna, M.D., M.P.H., District Health Officer San Joaquin County <br /> Mary Anna 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 1211 S. ' Turnpike Rd. Stockton, CA. 95204 <br /> hereby authorize Canonie Laboratories <br /> to release any and all analytical results , geotechnical data and site <br /> dssessment 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: �f Pjmlp/L- Oz -� Inc . Title: Sec . Treas . <br /> Address 1211 S, Turnp L Rd. Stockton CA Phone: 463-4786 <br /> Date: 8-27-86 <br /> i <br /> i <br /> EH 08 05 UGT 13 , <br />