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aOAAOOf 1HUSTtIs <br /> J,--as culoorivon. nra, SAN JOAQUIN LOCAL HEAI.I H ()ISTRICT <br /> 14,81r1Gla E. Vannvccl, $.� y SF.HYINQ <br /> An P''Invllf Van SPrOnaOn 1601 East H U0Q0(I Aven CISY of LOdI <br /> *�enlal uEl, F, 0 flax ?{)(t'j aan Joaquin county i <br /> am vQtlae <br /> Shack;pn Callfc�rnia �.` '{ii City of C-,caion <br /> + 161`1161 L. Flofe3 ?09I46fi-$T01 CITY or An„ntnc. <br /> ,nn 0. Ma]t. M.0 Cliy of FilPvn <br /> e`llllam J. W■df Clly of Stockton <br /> f+►1+ Anne Orf JOQI Khanna, M•D.• M.p.H., I)tolllct tlealln 01,Ir City u( 114cy <br /> I San Joaquin Counly <br /> Ei San Jr»quln County <br /> �y E) <br /> AUTHORIZATION TO RELEASE ANALYTICAL RESULTS, GLOIECHNICAL DATA <br /> pSITE ASSESSMENT MFOwrIOacro <br /> N <br /> i€ 1 <br /> undersigned owner and/or operator of the I <br /> E' P ProPt•t ty and/or fact l ity a <br /> located at 921 W. Fremont Street , Stockton , CA � <br /> I <br /> er by authorize Canonie Envi ronmei)ta I Stock^ to CA <br /> to release any and all analytical results , geotechnical data and site <br /> d ;sinent information to the San Joaquin Local H I <br /> e�lth District as soon � <br /> FIs it is available and at the Saft tiW it is provided to me or my <br /> EI <br /> rl� presentative. <br /> CEO . Lt1CAS � <br /> �rnrr/Operator: j t <br /> Title: <br /> address 92 <br /> i <br /> LOLL—-.._ Phone: q - <br /> ate: _ !e <br /> J14 <br /> (gEr a ' <br /> JAN 1 <br /> FNVIIRUMENTAL H - 1 <br /> f t:.ALT1-1 <br /> �! FERMIT/SERVICES <br /> a # <br /> , <br /> �� ,, <br />