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BOARD OF TRUSTEES SAN JOAOUIN LOCAL HEALTH DISTRICT SERVING <br /> Jamas Culbertson,Pres, City of Lodi <br /> Mary Anna Lova,Vlq Pres. 1601 East Hazelton Avenue, P.O. Box 2009 San Joaquin County <br /> Patricia E.Vannucd,Secy. San Joaquin County <br /> Tommy Joyce Stockton, California 95201 City of Escaion <br /> Earl Pimentel City of Manteca <br /> Virginia Mathews (209) 466-6781 City of Ripon <br /> Daniel L Flores <br /> John D.Mui,M.D. J 1 Khanna, City of Stockton <br /> m og reu,M.D.,M.P.H.,District Haahh OI/cer City of Tracy <br /> Gene S.Kraha <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 _ X02 ,a Yosemite Ave VantecG Ca 95336 <br /> hereby authorize SEMCO Contractors 431 W. Hatch Rd Modestof C;.. . <br /> Rf.i yr �a _ vno ErTo <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: -1vin Anderson Owner <br /> Title: <br /> Address ani .,I. Yognmite Ave Manteca Ca phone: 209-239-1438 <br /> Date : 2-1-88 <br /> PAYMENT <br /> RECEIVED <br /> FEB 11988 <br /> ENVIRONMENTAL HEALTH <br /> PERMITISERVICES <br /> EH 08 05 UGT 13 <br />