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y._ <br /> '� r•�:r Cutbenson, reef. ( <br /> ,/t.JUNUU")l LUUAL HEAL 11.1 Ut, MC:T <br /> � <br /> ralrkla E. Vannuccl, Sec'.y, SEAVINO <br /> Anthonelle Van Spron,en 1601 East Hazellon Avenue. P. O. Box 2009 San Joe Clty of Lodi <br /> Earl rlmentel quin County <br /> Fern Oupbee <br /> Stockton. Callfornia 95201 City of Efcelon <br /> Daniel L. Flores209/466-67$1 City of Manteca <br /> John D. Mail. M.O. City of Ripon <br /> William J. Wads Cltyof Stockton <br /> Jopl Khanna. M.O., M.P.H.. District Neallh Officer City of Trace <br /> Mary Anna Lova Son Joaquin County <br /> Son Joaquin County <br /> AUTHORIZATION TO RELEASE ANALYTICAL RESULTS. GEOTECHNICAL DATA AND <br /> SITE ASSESSMENT INFORMATION <br /> 1, the undersigned owner and/or operator of the property and/or -facility <br /> located at ac�ltty <br /> hereby authorize <br /> l /lam GSa�r/ <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 Ina or my <br /> representative. <br /> Owned/Operator: <br /> Address _ p Title: �4M4_dA <br /> —Phone: Qal <br /> Date: <br /> ( Ii 08 US U(;T.., 13 <br />