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n BOARD OF TRUSTEES SOJOAQUIN LOCAL HEALTH DIST <br /> James Gulber•�nn,Pres. SERVING <br /> Mary Anna Love,Vice Pres. 1601 East Hazelton Avenue, P.O. Box 2009 City of Lodi <br /> Patricia E.Vannucci,Secy. San Joaquin County <br /> Tommy Joyce San Joaquin County <br /> Stockton, California 95201 <br /> Earl Pimentel City of Escalon <br /> Virginia Mathews 44 (209) 466-6761 City of Manteca <br /> Daniel L. Flores City of Ripon <br /> John D.Mast,M.D. City of Stockton <br /> Gene S.Kraham F�` S(F�j JJei{Khanna,M.D.,M.P.H.,District Health Officer City of Tracy <br /> San Joaquin County <br /> % <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 10 outh Wilson Way <br /> hereby authorize Balbi & Chang Associates <br /> to relea"se 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: Roek Brothers - Donald Rock Title: Partner <br /> Address 3737 S. Highway 99 P. 0. Box 30038 Phone: 209/464-8344 <br /> Stockton California 95213 <br /> Date: <br /> Donald Roek <br /> EH 23 041 3/86 <br /> Eli <br />