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Tj <br /> -BOARD OF TRUSTEES SAN JOAQUIN LOCAL HEALTH DISTRICT : SERVING <br /> James Culbertson, Pres. City of Lodi <br /> Patricia E. Vannuccl. Sec00 <br /> Secy. 1601 East Hazelton Avenue, P. O. BOX 29 San Joaquin County <br /> Anthonette Van Spronsen CitCityy <br /> f Manteca <br /> Earl Pimentel Stockton, California 95201 City of Manteca <br /> Fern Bugbee 209/466-6781City of Ripon <br /> Daniel L. Flores City of Stockton <br /> John D. Mast, M.D. -_ __ .__ _ - City.of Tracy <br /> William J. Wade Jogi Khanna, M.D., M.P.H., District Health Officer San Joaquin County <br /> Mary Anna Love San Joaquin County <br /> 1 - <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 3730 Munford <br /> hereby authorize .7 _g KTFTNFFTnET <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. HENDRIX A D SON : S TRUCKING , INC . <br /> E <br /> Owner/Operator: 1-('c��C�' Title: VICE PRESIDENT <br /> Address 3730 MUNFORD AVE . Phone: 943-6085 <br /> STOCKTON , CALIF . 95205 <br /> Date: MARCH 20 , 1986 <br /> EH 08 05 <br />