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lJl/ll', 1 t I ,/ I 11( rel 1 11 III;I I <br /> C.i,rl.M1,t <br /> t!Vtr!O <br /> y f .lir<ra t .'.nnuf.Cl ..nC'r 1 <br /> Cllr nl ( udl <br /> Anlhunelle Van Spron,en 1(,O1 (_lSl 11a1cIlUf1 AV(:n11f7. 1J, U. (1(), 1(X19 `anJoa <br /> quln Cuunly <br /> f uooeel Slocklon, Call(ornia 95201 CI(y of E�c.(on <br /> Feer(n DupDee Clly of M&nfec& <br /> 01n1ef L. Flores 209/466-6781 City of Ripon <br /> John O. Ma3t. M O. City of Slocklon <br /> WI111&m J. Wade Jopl Khanna, M.D., M.P.H., District fieslth Officer Clly of Tracy <br /> Mary Ann& Love Sen Joaquin County <br /> San Joaquin Counly <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 a t �� <br /> hereby authorize <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: C -el;�� Title: Cal <br /> Address SS C'�i Phone: <br /> - <br /> Date: s='-� 7 <br /> EH 08 OS UGT 13 <br />