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A a n. ao OF >rlson.rO SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> y ES <br /> James Culbertson. Pres. SERVING <br /> Patricia E. Vannuccl, Sac'y. Clly of Lod! <br /> Anthonetle Van Spronaan 1601 East Hazelton Avenue; P. O. Box 2009 <br /> San Joaquin County <br /> Earl Plmsnlar Stockton, Calffornia 95201 k City of Escalon <br /> Fern Bugbee City of Mantoca <br /> Daniel L. Floros 209/466-6781 City of Rlpon <br /> John D, Mast, M.D. City of Stockton <br /> William J. WadeJogl Khanna, N.D., M.P.H., Dfalrlcl Health Officer D I t t-City of Tracy <br /> Mary Anna Lovei /SnfJoa �uln County <br /> Sin J�a ufn County <br /> MAY 1 5 +981 <br /> ENVIRCMENTAL HEALTH <br /> FERMIVSERVICES <br />—_AUTHORIZATION TO RELEASE- ANALYT-ICAL RESULTS, GEG <br /> !"iECHNfCAL 'DXTA7AND"` <br /> SITE ASSESSMENT INFORMATION <br /> I , the undersigned owner and/or operator of the 'property and/or facility <br /> located at '9110 Thornton Road , Stockton, CA 95209 <br /> hereby authorize Groundwater Technology, 5047 Clayton' Road , Concord , CA -94521 <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 /> CONTACT PERSON; DAVE LEw <br /> Owner/Operator: The Southland Corporation Title: Gasoline Mana" r <br /> Address 5820 Stoneridge Mall Road, Suite 310 Yi phone: (415)463-2711 <br /> Pleasanton, CA 94566 <br /> - <br /> - <br /> =Date <br /> � . 7 1986 - <br /> . i <br /> EH 08 05 .1 <br />