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BOARD of TRUSTEES SAN JOAQUIN LOCAL HEALTH DIST` CT SERVING <br /> James Culbertson, Pres- City of Lodi <br /> Patricia E. Vannucci, Secy. 1601 East Hazelton Avenue, P. O. Box 2009 San Joaquin County <br /> Anthonette Van Spronsen City of Escalon <br /> Earl Pimentel Stockton, California 95201 City of Manteca <br /> Fern Bugbee 209/466-6781 City of Ripon <br /> Daniel L. Flores City of Stockton <br /> John D. Mast, M.D. City of Tracy <br /> William J. Wade Jogi Khanna, M.D., M.P.H., District Health Officer San Joaquin County <br /> Mary Anna Love San Joaquin County <br /> A <br /> AUTHORIZATION TO RELEASE ANALYTICAL RESULTS,- GEOTECHNICAL DATA AND <br /> SITE ASSESSMENT INFORMATION w <br /> I <br /> I the undersigned owner and/or operator of the property and/or facility. <br /> located at _ 14800 W. Frontage Rd Manteca. CA 95 36 <br /> hereby authorize E rS Environment p.Q. Box 2242 .Mer _ed_,_ Ca 95340 <br /> T 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 /> 4erMooOwner/Operator: Title:Address Px 67 Banta, CA 95304 Phone: (209)835--2750 <br /> Date: 7-22-88 <br /> 5 <br /> y <br /> EH 08 05 <br />