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`,raOUIN LOCAL HEALTH DISTRICT <br /> r• <br /> SEnvtNO <br /> l' City of Lodi <br /> j1601 East Harellon Avcnue, P. O. 8oK 2009 Soft JO•o�ln County <br /> Stockton, California 95701 city orE%colon <br /> City of Mantec. <br /> Florae 209/466-6781 City Of Ripon <br /> Nast. M.O. city of Stockton <br /> • Wade Jopl Khanna. M.o.. M.P.H., District Haafth Offlcar Cltyof Tracy <br /> is Loye San Joaquin County <br /> San Joaquin County <br /> 10RIZATION TO RELEASE ANALYTICAL RESULTS, GEOTECHNICAL DATA AND <br /> ASSESSMENT INFORMATION <br /> the undersigned owner and/or operator of the property and/or facility <br /> jted atLz <br /> -by authorizer.,, <br /> -elease any and all analytical results. geotechnical data and site <br /> !ssment information to the San Joaquin Local Health District as soon <br /> it is available and at the same time it is provided to me or my <br /> -esentative. <br /> -� /Operator: Title: <br /> -ess `� 'f,X g� 7 Phone: <br />