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BOARO OFTRUSTEE5 # <br /> SAN JOAQUIN LOCAL HEALTH DISTHICT <br /> � <br /> James Culbenaon, Pres 'I SEIiVferO <br /> Patricia E. vannucci• SecyI City otLodi <br /> Anthonelle Van Spronsen 1601 East Hazelton Avenue, P. 0. Box 120)9 San Joaquin County <br /> Earl Plmenfel Stockton, California 95201 I! City of Escalon <br /> Fern $ugbee ! City of Manteca <br /> Daniel L. Flores 209/466-6781 ; City of Ripon <br /> John D. Mast, M.D. City of Stockton <br /> William J. WadeCity of Tracy <br /> Jopl Khanna, M.D., M.P.H., District Health Officer Sen Joaquin County <br /> Mary Anna Lore San Joaquin County <br /> E ! <br /> 1 <br /> i <br />! <br /> l <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/ facility <br /> located at Port of Stockton, 2201 W. Washington, Stockton, 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. j 4 <br /> PORT OF STOCKTON - <br /> Owner/Operator: L� �l,�,c.a Ti tie: <br /> Ph <br /> Box 2089 <br /> P. 0. So9 4 ! <br /> Address _ - Phone-. . <br /> Stockton, CA i <br /> Date: _. f� Z— <br /> ;i <br /> I <br /> 1 <br /> it . <br /> 13 <br /> EH 08 05 UGi <br /> 1 ui <br />