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` naAk6 or: itUSTEt$ <br /> SAW <br /> '.IOA0UM LOCAL HEALTH 614 <br /> r'fRICT seRv,,o ; <br /> "J a me s.Culbert son. Pres. . Cityotlodl <br /> Patricia E. Vannuccl. Soc'y. " San Joa y <br /> Anlhonelte'Van spronsen 1bQi fast Mazcllan Avenue. P. 0. Box 2009 gain Count <br /> Eatl Pimenlel. .: Stockton. rn <br /> tillfoiA 95201 City of Escalon <br /> Fern.9ugbee C11y of Manteca. <br /> Daniel Flores 209/466-fi7$1 City of Ripon <br /> ^John.D. Mast..M.D_.� City 0(Stockton <br /> City of Tracy <br /> William J.'Wade Jvpl"Khanna - P.H_. Dfelrfct Health Officer" San Joaquin County <br /> Mary Anna Love <br /> D aquin County <br /> OR'['GINAL <br /> AUG 1 1987 <br /> ENVIROMENTAL HEALTH <br /> ,7 :AFERMITAERVICES I <br /> AUTHORIZATION TO+.RELEASE •ANALYTICAL RESULTS, GEOTECHNICAL DATA AND <br /> STTE ,ASSESSMENT INFORMATION <br /> F the undersigned owner. and/or_ operator ah'eerty and/or facility <br /> Located <br /> 71 <br /> hereby -authorize <br /> ;"t ge6techni cal 'data. and site,-.o rel ease any and al T. analytical res`ul ts,; ; <br /> assessment information to 'the San Joaqu•tn toeal Health pistri'ct as soon <br /> as.-it is,avai.lable. and at :thee same .tame -i't-,,.jS';Provided. to me or my <br /> representative. a <br /> w <br /> Owned/Operator x Ti tl e: <br /> Address;..[ <br /> Phoize:°``.� �•--2 <br /> . <br /> 0() 9 71 <br /> �.' <br /> Eta 08 05 UGT 13 <br />