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BOARD Of TRUSTEES SAN JOAQUIN LOCAL HEALTH DISTRICT SERVING <br /> Al Crow,Pros. San Joaquin County <br /> EM Plmentai.Vice Pree. 1601 East Hazelton Avenue City of Manteca <br /> Tommy Joyce.Secy. Stockton, California 95205 City of Escaton <br /> James F.Culbertson City of Loa <br /> John D.Mall,M.O. JOGI KHANNA, M.O., M.P.H., DISTRICT HEALLTH WFICER City of Tracy <br /> Virginia Mathews City 0f Ripon <br /> Thoma Schubsrk D.V.M. ENVIRONMENTAL HEALTH DIVISION San Joaquin County <br /> Daphne Shaw (209) 468-342!� City 01 Stockton <br /> Hervey Williams,Ph.D. San Joaquin County <br /> AUTHOR I Z AT T Ohl TO F2EL_EA:3E <br /> i1- ANALYTICAL RESULTS <br /> GEOTECHNICAL DATA <br /> -w ENVIRONMENTAL/SITE ASSESSMENT INFORMATION <br /> 1, THE UNDERSIGNED OWNER AND/OR OPERATOR. OF THE PROPERTY AND/OR FACILITY <br /> LOCATED AT 1904 ;J. Charter Wav Stockton _ <br /> (SIRECT ADDRESS) (CITY) <br /> HEREBY AUTHORIZE FGL Environmental Stockton CA <br /> (tA80RATORY or CONSULTANT) <br /> TO RELEASE ANY AND ALL ANALYTICAL RESULTS, GEOTECHNICAL DATA AND/OR <br /> ENVIRONMENTAL/SITE ASSESSMENT INFOR,MATIOIN TO THE SAN JOAQUIN LOCAL HEALTH <br /> DISTRICT AS SOON AS IT IS AVAILABLE AND AT THE SAME TIME IT IS PROVIDED <br /> TO ME OR MY REPRESENTATIVE. <br /> BUSINESS NAME: __,_- Pura Crn Comfy <br /> (IE APPLICAAEE) <br /> OWNER./OPERATOR.: 5ob Mercer Distri. + Marianer <br /> SE' T1y1� lllilfl <br /> S(AN ORE) _ <br /> ADDRESS: P.O. Box 66009 _^ <br /> (RAILING ADDRESS) I <br /> Stockton, CA. 95205 <br /> (CITY) (STATE) (ITP) <br /> PHONE: 209 1 466-2041 <br /> DATE: ;!29190 <br /> I <br /> EH 23 041 Revised 1/89 <br /> Administration Clinical Services Environmental Health Public Heats Nursing <br /> 188-3400 48.3880 408-3420 188.3880 <br /> Air PoPulkin Community Somcas tauoratOry WIC <br /> 4863470 488-3840 468-3480 48.3280 <br /> AIDS Information 48.3820 <br />