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BOAM OF TRUSTEES SAN JOAQUIN LCL HEALTH DISTRICT SERVM <br /> Al e <br /> Ead PkranK vice Pres. 1601 East Hazefton Avenue CAy of <br /> Marviecai <br /> TOMMY Ja^SKY Slocidon,Caldomia 95205 City of Escalm <br /> Jwna F.Culbertson city Of Loa <br /> John Q WK IWLD JOQ1 KHANNA. M.D. M.PJ01, DISTRICT HEALTH OFFICER City d Tracy <br /> vwginia matwfa CAY d <br /> ®.v M San Joaquin c4unty <br /> Daphine Shaw City of Slocklon <br /> Marv"Mlarm PhD. San Joaquin <br /> L ae. "'j 3 <br /> 4 L. <br /> A,_l <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 7000 East Avenue, Livermore, CA <br /> hereby authorize Clayton Environmental Consultants, Inc. <br /> o 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 : U.S. Govt/LLNL Title: Richard Ragaini , Dept. <br /> 7000 East Avenue, P.O. BOX 808 415 423-8875 Heac <br /> Address Phone: � ) <br /> Livermore, CA 94550 <br /> Date: <br /> EH 23 041 3/86 <br /> Administration clinical SOWWAS Emkonmental Health Public Health Nursing <br /> 468-3400 456-3830 20 468-3860 <br /> Air Pollution Community Services Laboratory WIC <br /> 468-3470 468-3820 468-3460 468-3280 <br />