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AN JOAUUIN LOCAL HEALTH [PTRICT <br /> 1..,,.4 Cine«I.�, et... SERVING <br /> Mary Anna Loy., vk. P,«. 1601 East Flaaellon Avenue, P.Q. Box 20,09 City o1 to4l <br /> P.tilcaa E. V■nnucci, s.c•y. San Joaquin County <br /> Yon+my Joys. San Joaquin County <br /> Stockton. Calilomla 95201 C8y 01 Ewealon <br /> Carl Pknana.l <br /> VleQ40W Math.w• (209) 466-6781 CNy of Mant.c■ <br /> Der,W L Flora City of Ripon <br /> Jahn O. riaat•,M,D. City of Stockton <br /> Gone S-Kr■ham Jo91 Khannti M.0,M..t,F1�61.t+rtcl Ft..tah OI'Rc« CRy of TV" <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 <br /> property and/or facility <br /> located at tlari.ous San Joa uin County locations <br /> + hereby authorize Canonie Engineering, Inc. <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 /> SaJoaqui Coun y Government Buildings <br /> OW11cr,[C}[}erator : D nnis Marciasini Tit la; : Assistant Director <br /> A(I(1 c ,.; 1722 E. Scotts Avenue zl�g 57--- <br /> ,_ Phone - <br /> CA <br /> a <br /> [)-.to : -__J-u-1y 20 1988 <br /> ENVIROMENTAL HEALTH <br /> FERMIT/SERVICES <br /> EI[ 08 [1(;T I ] <br />