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�ARR OF TRUSTEES Sfe JOAQUIN LOCAL HEALTH DISI&CT <br /> CWOodaow,rv. <br /> 7 A'—t—,k Vim Pa 1601 East Hazeflon Avenue, P.O. Boz 2009 � SERVIHC <br /> Cly a logy <br /> laa c v.a.K,�S«-Y. <br /> S—Jepl,yl C ,y, <br /> 4OmStocklon, California 95201 Sa J—q In�y <br /> M&thaM <br /> PYnCly of EWA&" <br /> '.lwla aIA <br /> -.»I L fb.oa (209) 466-6781 city of M"Weca <br /> Clrr o/Wp+ <br /> .n D. Mail,M,D. Jopl Klu .M.D�M.►.H�Dla CHY of SIOCMbn <br /> .a $, Knham X41/baM�OlM1c ar <br /> San Joapuln County <br /> AUTHORIZATION TO RELEASE ANALYTICAL RESULTS , GEOTECHNICAL DATA AND <br /> SITE ASSESSMENT INEORHATION <br /> 1 , the undersigned owner and/or operator of the property arid/or faL : li _J <br /> located at 22580 S . Moffat Rd . , , Ripon , Ca 95366 <br /> hereby authorize Canonie Environmental , Stockton , Ca <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: <br /> ' �' 2 Title_ <br /> Address p2580 S . Moffat Rd! , Ireside_nt <br /> Ripon - Ca 95366 Fhone� 209 ) 599-2176 <br /> Date: 6 December 1988 <br /> EH 08 05 UGT 13 <br />