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RANSM I TTED FROM 206 9P? 8922 08 . 07 . 87 13 U1 P , 01 *CASTLE 1#17 <br /> f '490 OF TRUSTEES SAN OAOUfN LOCAL. HEALTH D1STf�fCT IRRVIN° <br /> I"Cuttrsnaan,free, city or Lodi <br /> ry Anne Lore,Woo Pres. 1601 Eget Hazelton Avenue, P.O. o <br /> . Box 2009 n Joaquin County <br /> `rlcla E:Vannuool,s.o.y. San Joaquin County <br /> sion <br /> nmr JOYCe Stockton, California 952x1 it y of ri t"I <br /> I pimantai Cny ar Manriotr <br /> llnla Mathews (209) 466-6781 City a! Ktort <br /> dst L, Ftv+�• City o}$inckltm <br /> Cily of Tracy <br /> n 0.Man,M.D. Japl Khanna,M.D.,iM.PX,District Health OtACer <br /> it i.Krsham >Zan Joaquin County <br /> Ai3THOR1ZATION TO RELEASE ANALYTICAL RESULTS , GEOTECHNICAL DATA AND <br /> BITE ASSESSMENT INFORMATION <br /> a,Eo cop barn <br /> m ng woz <br /> I , the undersigned the property and/or facility <br /> located at <br /> hereby guthorizeseta Associates and/or California Water Labe <br /> to releaue 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 /> Retainer <br /> Gtst; c6dr�r <br /> Title,a-W_ W�A <br /> e <br /> Address �� r � f Phone:31 -� 7///_ <br /> Date: t?- 7— ? 7 <br /> EH 05 05 ucT 13 <br />