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BOARD of TRUSTEES SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> SERVING <br /> James Culbertson, Pres. <br /> Lodl <br /> Palrlcia E. Vannuccl; Sac'y' San JCity ofoaquin County <br /> unty <br /> 1601 East Hazelton Avenue, P. O. Box 2009 <br /> Anihonatle Van Spronsen City of Escalon <br /> Earl Plmanlel Stockton, California 95201 City of Manteca <br /> Fern Bupbee 209/466-6781 City of Ripon <br /> Daniel L. Flores City of Stockton <br /> John D. Mast, M.D. City of Tracy <br /> William J. Wade Jopl 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 ii itJAn ,'0 Manteca, California <br /> hereby authorize California Water Laboratory <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 /> Aeh t <br /> OwnX;Operator: - !�GE'_c� �GGGL._j Title: Vice President <br /> Address 1100 North J Street Phone: (209) 688-2977 <br /> Tulare, California 93274 <br /> Date: June 16, 1986 <br /> a <br /> EH 08 05 UGT 13 <br />