Laserfiche WebLink
SEES SA1`& QUIN LOCAL HEALTH DIST* <br /> �.naon, f Tei <br /> v�nSERVINO <br /> f� .--.cc[, Secy <br /> van Spronien 1601 East HaJetlon Avenue. P. 0. Dox 200g City of Lodi <br /> V, S", Plm.nl el <br /> San JoaQuln County <br /> f. n e.po.e Stockton. California 95201 City of Eac.lon <br /> Daniel L. Flower 209/466-6781 Clly of Manteca <br /> John 0. Mail. M.O. City of 111"n <br /> Wllllem J. Wade city of Slocklon <br /> Jopl Kh•nne M,O•, M.P.H•, 0181mcl Health olflcaw City of Tracy <br /> Mary Ann. LOre San Joaquin County <br /> - -San JoaQuln County <br /> r <br /> p_60 w j <br /> T <br /> ENVIROME AL I LTH <br /> PER`.^IT/,;= •':(I'tS <br /> AUTHORIZATION TO RELEASE ANALYTICAL RESULTS, GEOTECHNICAL DATA AND <br /> SITE ASSESSMENT INFORMATION <br /> 1 , the undersigned owner and/or operator of the property and/or facility <br /> located at L3 `) 0 5,_ <br /> hereby authorize <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. <br /> O.fne�/Operator: <br /> Address <br /> �- Title: <br /> J 'Z, 1--t✓ C <br /> Phone: <br /> Date: <br /> L 1 MAY 101988 <br /> f <br /> TO FILE — <br />