Laserfiche WebLink
3 .A �SSPM <br /> 'Fr - - -'". �y <br /> I uoa.Ro•of IRUSILLS SAN JOAQUIN LOCAL HEALTH DISTRICT SERvi"D <br /> J.mes Cufoerisorl, Pres City of 1.00 <br /> Pol(Icra E VannucN, Secy iCol EASI Hazolion Avenuo, P O. Box '-(W Snrn Joaquln County <br /> nlhonetie Van Soioneon City of Escatoh <br /> � <br /> Aft Plmeniel Stockton,Call torntn 9')'01 City of Marnin[a <br /> City Fs+n ©uouou 209/466-6781 City <br /> ckton <br /> Daniel L. F€ares Clty 41 2ilocklon <br /> John D. MA31, M.O. City of Tracy <br /> Wllllam J.Wade Jo01 Khanna, M,D„ M.P.H., District Hsafth OfflCar San Joaquin County <br /> Mary 4nna Lava San JoaqulnCounty <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 1 W. Turner Road, Lodi , CA <br /> hereby authorize Canonie 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 /> Owner/Operator: 35l'; =C�,'�L �.: dF ,' �il1 / Title: 11��' <br /> Address I ! fl1C�uLU 1 <br /> Phone: >�- 3 ?� <br /> Date: <br /> E1j 08 05 UGT 13 <br />