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_ _ r <br /> fr04;i0 u1 11UQ,1iis ".)Af, J0AC� 1114LUC,AL Iif-At Ilif}I,:� 1iflCT <br /> Jbnlna Culhntl]pn. f'rny <br /> f e1r10A L VBnnnCU, (,,,:•y. 'A FiVir;l, <br /> Anlhonnlln Van 1Ci01 Clly o;I tro;r <br /> :,(er fin}lrn f:ilsf li,'I {?1l Orl AvurIL1O, P. �� firl). ;(}�':� 'atf JOB• <br /> [rrrl i•inrnnln; quinCounty <br /> f nrn liuUr)rnr Inr:kton, CajIfurilla . .'{}1 c1lyof Escafur <br /> Daniel L. Flora3203 c C11yOf 1.lentr,cr. <br /> /4GG 67f}1 Wade <br /> cfly of 13ipon <br /> John U. R4h,.U. CltyofStockton <br /> William J. Wade JoUi Khanna, M.D., clly of Tracy <br /> Mary Annn Love M•P•lf•, Dlnlrlcl ifnanh ONlcnr <br /> San Joaquln County <br /> Seri Joaquin County <br /> AUTHORIZATION TO RELEASE ANALYTICAL RESULTS, GEOTECHNICAL DATA MD <br /> SITE ASSESSMENT INFOR ATION <br /> I, the undersigned owner and/or operator of the property and/or facility <br /> located at 8715 Grant Line Road, Tracer, California <br /> hereby authorize the San Joaquin Local health District <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 /> Owner/Operator: Kaprzielian Engineering Inc. Title: Agent <br /> Address <br /> phone: 45 z--Z2 8_-I 8 8 2 <br /> �-- 94553 <br /> Date: Afay 20, 1986 <br /> G� G} <br /> EH 08 05 <br />