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. . . 111111111 /I./ i11� <br /> Ch, of t 'di <br /> AnIhon.11. V.. Spr omen 1(rU -a5t Hdlello 171VCrit10, P. O. Hut /(KJ9 .an Joapuln COunly <br /> C .,I 1 imenlel Stockton" Callfornia 95201 City of Eac.lon <br /> In Dupoe. city of M.nlece <br /> Daniel L. Flolef 209/46"781 City of Ripon <br /> John 0. M.el, M,O. <br /> City of Stoc4lon <br /> Wllll.m J. W.d. Jopl Khanna, M.O., M.P.11„ DLlgcl Ite.ilh Office( City of T,.cy <br /> Mary Ann, Lore San Jo.puln County <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 la ' l p 1 <br /> hereby authorize <br /> to release any and all analytical results. geotechnical data and site " �S 3SJ <br /> 4ssessment 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/Operator: rvy� Cts Title: <br /> Address 3� 3 SPhone: <br /> 32C� <br /> Date: <br /> LNVitcL:I'L-TIAL H-ALTH <br /> F ERMIT/SERVICES <br /> EH 08 05 UGT 13 e <br />