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N — _ — •? 1 r'1 i=f N 44 = 2 o I 1= F: C Cl M F' 1::1 F-4 't' _ F' _ In 1 <br /> JAN 25 "31 g9:S5 LLHDORFF&SCALMhNINI W0CDLAND <br /> f)""U `" '"U57Ut. SAN JOAOUIN LOCAL HEALTH DISTRICT sEHvtt+c <br /> J.mr•t'Wbwl..rt,^'w. City of Lodi <br /> M.ry Ann.LQ",vk.P.« 1601 Sant Hazelton Avenue,P.O.tloft 2009 Sen 10equin county <br /> P.u.C4 E.Y.nnVCCL,s.c'1. s.n Jo.quln County <br /> r-1 ieya. sloCkton,04Iflonlla 95201 Cay a!84.100 <br /> E.d P""140 Chy of Manteee <br /> v1111Me IAe11Mw4 (209)466-6761 Coy th"bon <br /> Denim L fWee Gty d 340cm0n <br /> leM 0.Mem,Y.D. loot Rhuw,MA_MJ.M,041tkf 14&M Otecer Chy d rrom <br /> aene 1.Krehetn rrm lo.quit Ceunry <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 -- 40 N. Main Streetr Lodi, CA <br /> hereby authorize Luhdorff & Scalmanini, Consulting Enaineers <br /> to release any and all analytical results. geotechnical data and Witte <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 /> OwnerfOperato Title- �Z AI�h41V <br /> nddrvss //[Z y�� % lA.;Ah Rhona, <br /> CA- <br /> Flt OR (14 WIT 7'1 .. <br />