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4. <br />James Culbertson. Pces. <br />' <br />PalrlVa'E. Vannuccl, Sec'y. <br />Anthonalte Van Spron3en <br />Earl Pirnanief <br />Fern 8uQt)ea <br />Danial L. Floras <br />John D; Mast, M.D. <br />William *J. Wade <br />Mary Anna Love <br />1601 Ot Hazelton. Avenue, P. 0. Box 2009 <br />Stockton, California 952011 <br />209/466-6781 <br />Jogl Khanna, M.D., M.P.H., District Hoalth Officer <br />AUTHORIZATION TO RELEASE ANALYTICAL RESULTS, GEOTECHNICAL DATA AND <br />SITE ASSESSMENT INFORMATION <br />1, 1 the undersigned owner and/or operator of the property and/or facility <br />located at 975 S. FAIRMONT AVE., LODI. CA <br />hereby authorize CALIFORNIA WATER LABS <br />to release any and all analytical results, geotechnical data and site <br />dssessment information to the. San Joaquin Local Health District as soon <br />as it is available and at the same ti'me it is prbvided to me or my <br />representative. <br />.Owned/Operator: LODI MEMORIAL HOSPITAL. Title: <br />Address 975 S. FAIRMONT AVE. Phone. 334-3411 <br />LOD'I _ CA <br />Date: 4/21/88 <br />I <br />EH 08 05 UGT 13 <br />City of Lodi <br />San Joaquin County <br />City of Escalon <br />City of Manteca <br />City of Ripon <br />City of Stockton <br />City of Tracy <br />San Joaquin County <br />San Joaquin County <br />