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BOARD OF TRUSTEES <br /> James Culbertson, Pres. ON JOAQUIN LOCAL HEALTH CORICT SERVING <br /> Patricia E. Vannuccl, Sec'y. City of Lodi <br /> Anthonette Van Spronsen 1601 East Hazelton Avenue, P. O. Box 2009 San Joaquin County <br /> Earl Pimentel $tOCICtOn, Ca11IOfn 3a ibF 201 City of Escalon <br /> Fern Bugbee City of Manteca <br /> Daniel L. Flores 209/466-6.'61 City of Ripon <br /> John D. Most, M.D. City of Stockton <br /> William J. Wade Jogl Khanna, M.D., M.P.H., District Health Officer City of Tracy <br /> Mary Anne Love San Joaquin County <br /> 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 15634 South Steinegul Road, Escalon, CA 95320 <br /> hereby authorize > .�•n �� .� hlr7i4l� lr�4(w ED-5A53T44 '7 <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: Title: ,01 7f <br /> x— <br /> Address 26414 East Lo Tree Road Phone: 465-7279 <br /> Escalon, CA 95320 <br /> Date: April 8 1987 <br /> Eli 08 05 <br />