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•o•ao of likusltcs SAN *QUIN LOCAL HEALTH DISTRIO <br /> SERVnrO <br /> J.�•... P,• <br /> Cvlwn.on, .. <br /> IN.tcl. E. V.nnuccl. S.C,r Cllr of Lodi <br /> Anlhon4410 Van Sp,ona.n 1601 East llalelton Avenue, P. O. Goa 1009 San Joaquin County <br /> (.,I rin`.M., Stockton. Calltornia 95201 Cllr of Eacalon <br /> F un 8.00.4 City of(Aanl•c. <br /> o.nl.f L. Flo,u 209/466-6781 Cltyo(Ripon <br /> John D. Marl. M.O. Cltro(Slockton <br /> Jog( Khanna, 1.1.0., MPH0(alrld Haalin O((Icw Gly of Tracy <br /> William J. Wada . . ., San Joequln Cntr <br /> Mary Anna Loveou <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 facility <br /> located at 5333 E. Washington <br /> hereby au Chori Ze Canonie Engineers <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 /> Arne'/Operator: Carl Dorrel Title: owner <br /> Address 115 S. Walker Lane Phone: 942-2427 <br /> Stockton <br /> Date: <br /> EJ <br /> Ell 08 05 UGI 13 <br />