Laserfiche WebLink
hDARo OF 1AVSIEE5 SAN JOAOUIN LOCAL MEAL T►-i DISTRICT - <br /> - .'a—ds CufoertsOn, Prep SERVING <br /> " (4Cla E- Vann VCCI, fieC'y CIS,of Lodi <br /> 1honalle Van ,oron.an^ 1601 E;151 Ha2ef[Dn Avenue, P 0 Box : N■^joa,Uin Counlr <br /> LaN Plmenlfln <br /> SloCk1D11, California 95'�t CII 0!EsC Ion <br /> Fain Buouee Glly of IaanlnCA <br /> lama! L. Floral 209/466-6781 City oI Ripon - - <br /> john O, !•!ast, M.O. City of Slo:;.lon <br /> WIMArn J. Wade Jojl Khanna, M,p„ M,p.H„ DIaIrIcl moalln Olff:ef City of Tracy <br /> I,`ary lnna Lore son Joaquin County <br /> San JoaqulnGounly <br /> AUTHORIZATION TO RELEASE ANALYTICAL RESULTS, GEOTECHNICAL DATA AND <br /> SITE ASSESSMENT 111rORVAT I ON <br /> I, the undersigned owner and/or operator cs the property and/or facility <br /> located at 1 W. Turner Road, Lodi , CA <br /> hereby authorize Cartonie Engineering <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 /> �✓ <br /> p <br /> arrner/0 era torr �� '� // F / ��•'/'f' r:'f Title: f"%rf'T i J-? <br /> Address -1 r� i'2) ..//._.�LliC-t/-;�� I71} Phone: �'+Yr 6'�G, <br /> ^ate: <br />