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�wq Uf rnUSI1,CS <br /> u10.n Ion. r'.., SAN JOAOUIN LOCAL HEALT11 01STIliCT <br /> • n. [ v.nn„ccr. ;.c.y Stnvfr p <br /> '^o^"'f• V+n orunran I601 f;asi E(geClipfr Avenua, P 0. Orly of Lool <br /> •f hnr.nr nr tio. 70 � :ran Jo.Quln Cnunlr <br /> n pb.a Slnr.klon. Caillornra95201 (frya+r.,c.lon <br /> prof <br /> L. Fforay z04/SGG•$7B i City or tA, 1'c. - <br /> � 0. ualr, M.0 City of moan <br /> Ifsrn 1. W■aa Cllyof Srochfpn <br /> 'Y inns Lor. Jopl rn.nrn., M.O.. Fd, OF.Irlcl Ha.rrn Uiflco, City of X„cr <br /> San 10.gvin Covnty <br /> San Joactuln Counf <br /> AUTHORIZArfou TO RELEASE ANALYTICAL RESULTS. GEOTECImICAt DATA AND <br /> SITE ASSESSMENT INFORMATION <br /> 'he undersigned owner and/or operator ( f the property and/or 'faci 1 ity <br /> orated at 1 W. Turner P.oad, Lodi , CA <br /> Y authorize Canonie Engineering —"— <br /> o release any and al). analytical results, <br /> geotechnical data and site <br /> ssessr?--nt i"IfOrFration to the San Joaquin Local health District assoon <br /> iL i; av,1ilable and at the same time it is provided to me or m} <br /> :pre sen tat re. <br /> •ne r/Opera torr, <br /> Title: �� <br /> dress - �'�_7� l�lf�i'IL►� 1'�r3 Phone: r 7-� <br /> i <br />