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BOARD OF TRUSTEES SAN JOAQUIN LOCAL HEALTH DIS TRIC i SERVING <br /> James Culbertson,Pres. City of Lodi <br /> Mary Anna lave,Vice Pres. 1601 East Hazelton Avenue, P.O. Box 2009 San Joaquin County <br /> Patricia E.Vannucci,Secy. San Joaquin County <br /> ' Si,>!��11' '?I'.�-0 Escalon <br /> Tommy Joyce Stockton California 95201 p <br /> Earl PimenlN y i _\`i ,_s .• City of�vlanteca <br /> Virginia Mathews (209) 466-6781 , Gigot Ripon <br /> Daniel L Flores S" City of'Slockton <br /> John D.Mast,M.O. Jogi Khanna,M.D.,M.P.k,District Health Officer i City of Tracy <br /> Gene S.Kraham San Joaquin County <br /> ir <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 at440 West Charter Way & Lincoln, Stockton, CA <br /> hereby authorize Groundwater Technology <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 salve time it is provided to me or my <br /> representative- <br /> Owner/Operator: David Heinrich, Texaco, USA Title: Field Engineer <br /> Address 3015 Bradshaw Road Phone: 916/361-0614 <br /> Sacramento, CA 95827 <br /> Date: Q/gypLZ <br /> T <br /> c(opy <br /> EH 08 05 UGT 13 <br />