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BOARD OF TRUSTEES SAN JOAQUIN LOCAL HEALTH DISTRICT SERVING <br /> AI Crow,Pres. San Joaquin County <br /> Earl Plmentei,Vice Pres, 1601 East Hazelton Avenue City of Manteca <br /> Tommy Joyce.Secy. Stockton, California 95205 Cory of Escalon <br /> James F.Culbertson City of Lodi <br /> John 0.Meat,M.D. JOGI KHANNA, M.D., M.P.N., DISTRICT HEALTH OFFICER City of Tracy <br /> Virginia Mathews City of Ripon <br /> Thomas Schuber%D.V.M. ENVIRONMENTAL HEALTH DIVISION San Joaquin County <br /> Daphne Shaw (2o,3) 468-3420 City of Stockton <br /> Harvey Williams,Ph.D. San Joaquin County <br /> ALJTHOFZ I ZAT I ON TO F:EI_EASE <br /> ANALYTICAL RESULTS <br /> is GEOTECHNICAL DATA <br /> �+ ENVIRONMENTAL/SITE ASSESSMENT INFORMATION <br /> I, THE UNDERSIGNED OWNER AND/OR OPERATOR. OF THE PROPERTY AND/OP. FACILITY <br /> LOCATED AT 2235 Cherokee Road, Stockton- CA 95205 <br /> (STREET AODRESSI (CITY) <br /> HEREBY AUTHORIZE McLaren Environmental Engineerinc <br /> (LABORATORY or (ONSULTANI) <br /> TO RELEASE ANY AND ALL ANALYTIC_.AL RESULTS, GEOTECHNICAL DATA AND/OR <br /> ENVIRONMENTAL/SITE ASSESSMENT INFORMATION 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: Largin' s Service <br /> (IF APPLICABLE) <br /> OWNER,/OPERATOR: same <br /> ( ASE PRINlI �� (TITLE) <br /> (,6tABa18RE) i %�_� <br /> ADDRESS: 2235 Cherokee Road <br /> (RAILINS ACORESs) <br /> Stockton , CA 95205 <br /> (CITY) (STATE) (ZIP) <br /> PHONE: C209 ) 946-9107 <br /> DATE: November 17, 1939 <br /> EH 23 041 Revised 1/89 <br /> Administration Clinical Services Environmental Health Public Health Nursing <br /> 468-3400 468-3830 468-5420 468-3860 <br /> A r Pollution Community Services Laboratory WIC <br /> 468.3470 468-3820 468-3460 468.3280 <br /> AIDS Information 468-3820 <br />