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+uslces SAN AQUIN LOCAL 11EALTFi UIS `T SERVING <br /> ties Cuiuenson, Pros. <br /> /i1tlCia E. VannucCl, SeC'y. City of loll <br /> Anthonette Van Sptonsen <br /> 1601 East Hazelton Avenue P. O. Box 2009 San Joaquin County <br /> city <br /> Earl Plmentei Stockton. California 95201 Eacalon <br /> Fern"BupOeo City off Manteca <br /> 209/466-6781 City of Ripon <br /> Daniel a Flores <br /> City of Stockton <br /> John D. Mast, M.Q. <br /> City of Tracy <br /> William J. Wade Jo®1 Khanna, M.D.s M.P.H.. District Health Officer San Joaquin County <br /> Mary Anna Love San Joaquin County <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 French Camp Landfill <br /> hereby authorize EMCON Associates <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 /> e <br /> Owner/Operator: %' P Title: <br /> Address LA). 61F04P' �7; T��l/ 1.Phone: $3 <br /> Date: ll/zf <br /> EH 08 05 UGT 13 <br />