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r _ 1 <br />SOARO QF TRUSTEES <br />James C'ulberl3on. Pres. <br />Patricia E. Vannuccl. Secy <br />Anthonelte Van Spronsen <br />Earl Pimentel <br />Fern Bu®bee <br />Daniel L. Flores <br />John D. Mast, M.D. <br />William J. Wade <br />Mary Anna Love <br />1601 East Hazelton Avenue, P. 0. Box 2009 <br />Stockton, California 9.5201 <br />209/466-6781 <br />Jo®1 Khanna, M.D.. M.P.H.. District Health Officer <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 351 N. Beckman Road, Lodi, CA <br />hereby authorize Canonie Environmental, Stockton, CA <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 />JIM <br />fii <br />P <br />Address P. �' '. <br />Lodi/ CA 95241-0357 <br />Date: <br />EH 08 05 UGT 13 <br />Title: <br />Phone: 462-4581 <br />SERVING <br />City of Lodi <br />San Joaquin County <br />City of Escalon <br />City of Manteca <br />City of Ripon <br />City of Stockton <br />City of Tracy <br />San Joaquin County <br />San Joaquin County <br />