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OARU Of TRUSTEES <br />11" C046*46on. Pt**. <br />'OT Aao4Loro. Vic® Plea. <br />Aftfa E. VsnnucN, soc•y. <br />TIMwn►y Joyce <br />E•A rknontof <br />John 0. Moot. M.O. <br />Go" a. Kraham <br />JOAQUIN LOCAL HEALTH DIS CT sEaytNG <br />1601 East H®tolton Avenue. P.O. Box 2009 <br />un �oogvin County <br />Stockton, Callfotnl® 95201 son J"gwn County <br />Cky of Escdon <br />(2O9) 466-6101 Cky of Mentoce <br />ctty of atpon <br />JOO KhowA. M.D.. Md 14% DNrtot M**M oiuic« Cky of SWCkUn <br />CRY of Trocy <br />sM roomy <br />GEOTECHNICALAUT11ORIZATION TO RELEASE ANALYTICAL RESULTS. <br />INFORMATIONSITE ASSESSMENT <br />1. the undersigned owner and/or operator of the property and/or facility <br />located at <br />hereby authorize , <br />to release any and all analytical results. geotechnical data and sit` <br />assessment information to the San Joaquin Local Itealth District as soon <br />as it is available and at the same time it is provided to me or my <br />representative. <br />Owner/Up <br />Add re:;s <br />Date: (- <br />EH 08 05 UGT 13 <br />Title. r` <br />111104 <br />