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cIly of t odl <br /> Ant'Iwnalls Van Spron,en 1601 f---ISt K-wellon AventJO, P. O f�Ux l(?\)9 San JoaQuln counly <br /> E erl_Plmenlel Stockton, California 95201 <br /> Clly or E3c.ton <br /> Fern pup Des City of Manteca <br /> Daniel L. Flore>I 209/466-6781 City of Ripon <br /> John 0. Ma31. M.O. City of Stockton <br /> William J. Wade Jopl Khanna. M.o.. M.P.H., olelrlcl Health Officer City or Tracy <br /> Mary Anna Loys Sen JoaQuln County <br /> Sen Joaquin County <br /> AUTHORIZATION TO RELEASE ANALYTICAL RESULTS. GEOTECHNICAL DATA AND <br /> ENVIRO`J`E`��AL HEALTH <br /> SITE ASSESSMENT INFORMATION FERIJIIT/SERVICES <br /> I . the undersigned owner and/or operator of the property and/or facility <br /> located at ' )-i <br /> hereby authorize E? <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: r C Ti tl e: z <br /> lrcJ o <br /> Address � _ ,��, Phone: <br /> ave , -A q <br /> Date: <br /> EH 08 OS UGT 13 <br />