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BOARD OFIRUS Et:S� x �, x pAQUIN LOCAL HEALTH DIF- ilCT .SERVING <br /> Jam" Cu IWI, city of loaf <br /> Patricia E.,VaM ,r Vf tc r,� ' ' San Joaquin County <br /> Anthonette:Yan SficonarT East Hazelton Avenue. P:O. Box 2009 ell <br /> < y of Escalon <br /> Earl Pimentet ' Sr ' w rr. a , tip Stockton,Callfomia 95201 city or Manteca <br /> Fun Bupbea City aAiPon <br /> Daniel L Flores : ` ;` ' 466-6781 City of Stockton <br /> xt <br /> John 0.Msst, flA ��" s f r r City of Tracy <br /> Wttfiarn Js'W � L sa s. doOE Khanna, M.O., M.P.H., District Health Officer San <br /> Joaquin County <br /> Mary Anne,Low. a ' San Joaquin County <br /> TX <br /> IN <br /> AUTHORIZ 't"T TEASE'ANALYTICAL RESULTS, GEOTECHNICAL DATA AND <br /> SITE ASS S-' W r l t' ON <br /> I, the tinder ig `wrtet .�tnd`.or o erator of the prop t an /or facility <br /> .,z <br /> 1 ocated at ©.., - n <br /> hereby atf't'j. zi. <br /> r - <br /> to rel ease:a�rand�all airtlXtic results, geotechnical data and site <br /> dssessmeaf ia.forSan Joaquin Local Health District as soon- <br /> Its i t l is &,V f a to ar, a the, same tfiitt it is provided to me or my <br /> y <br /> represet t *=�'. <br /> Oame�r/Operator; Title: <br /> Address _ f Phone: G G-904-f <br /> Date: <br /> EH 08 05 UGT 13 <br />