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IN"k"L "' ""on ( s <br /> r'C„1(,e.riion, r(e�. SAN J(�UUIN LOCAL lit-AL 1 li UISI fit1� <br /> `.LuvINO <br /> Jane - <br /> ramcia E vonnuccl. se€*y” '4ti City oftodl <br /> Anthone(le Van Spronsen 1601 Cast Hrwelton Avenuo, P. O. Box 2(X)9 San Joaquin County <br /> Earl Pimentel <br /> Stockton, California 95201 City of Eacaton <br /> - f ern-Bupbee City of Manteca <br /> Daniel L. Flores 209/466-6781 City of Ripon <br /> John D. Mea(. M.O. _ � _ . <br /> City of Stockton <br /> Wllllnm J. Wade Jopl Khnnna, M.D.. M:P.HCity of Tracy <br /> r., District Health Office <br /> San Joaquin County <br /> Mary Anna Love - <br /> Sen Joaquin County <br /> AUTHORIZATION TO RELEASE ANALYTICAL RESULTS. GEOTECHNICAL DATA AND <br /> SITE ASSESSMENT INFORMATION <br /> i I. the undersigned owner and/or operator of the property and/or -facility <br /> located at <br /> hereby authorizeyAru�� <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 /> Owned/Operator: „� Title: <br /> Address ll/ �Jc <br /> ie Phone: <br /> Date: <br /> i <br /> i <br /> EH 08 OS UGT 13 <br />