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80AR0-ol=;,TRUSTEES SAN JOAQUIN LOCAL HEALTH DISTRICT SERVING <br /> James Cr'tMeltwn,Pres. City of Lodi <br /> Mary AAms Loy*,Vic*Pres. Q'1 East Hazeilon Avenue, P.O. l ox 2009 San Joaquin County <br /> P ikla E.Vannuccl,Secy. San Joaquin County <br /> lon <br /> Tommy Joyce Stockton, California 95201 city E ala <br /> EaEndPimenr*t City all Manteca <br /> Vlrgfnla Mathews (209) 466=6781 City or Ripon <br /> Daniel L Ftor*e City of Stockton 4 <br /> John 0.Mas,M.Q. Jogi Khanna,M.D.,M.P.H.,District Health Officer :ry: City of Tracy <br /> Gene S.Kraham San Joaquin County <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 at x.3.2 J S i ocA7 c7/t/ <br /> he authorize 1 <br /> t <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 /> �� • Corporate Secretary <br /> Owner/Operato itic <br /> Address 2324 Navy Drive Stockton , CA Phone: 209"948-4600 <br /> Date: 3- 8- 89 <br /> 23 041 3/86 <br /> i <br /> Ell <br />