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BOARD OF TRUSTEES <br />James CulEenson,'Pres. <br />Patricia E. Vannuccl, Secy <br />Anlhonalle Van Spronsen <br />Earl Plmantel <br />Fern Bugbee <br />Daniel L. Flores <br />John D. Mast, M.O. <br />William J. Wade <br />Mary Anna Love <br />SAN JOAQUIN LOCAL HEALTH DISTRICT SERVING <br />City of Lodl <br />1601 East Hazelton Avenue, P. O. Box 2009 <br />San Joaquin county <br />City of Escalon <br />Stockton, California 95201 <br />City of Manteca <br />209/466-6781 <br />City of Ripon <br />_ <br />City of Stockton <br />City of Tracy <br />Jogl Khanna, M.O., M.P.H., Dlstdd Health Officer <br />San Joaquin County <br />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 4325 East Washington, Stockton, CA <br />hereby authorize Applied GeoSystems <br />to release any and all analytical results, geotechnical data and site <br />dssessfnent 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 />Ownef/Oper4jtor: �lCtutcL�G�io�n`jt. Title: Environmental Engineer <br />Address 900 S Cherokee Lane, Lodi, CA 95240 Phone: 209/368-2731 <br />Date: June 22, 1987 <br />0 <br />EH 08 05 UGT 13 3 <br />