Laserfiche WebLink
ISDARD OF 1 RUSIEES <br />James Culbenson. Pre&. <br />Patricia E. Vannuccl. Secy. <br />Anthonetle Van Spronsen <br />Eail Plmentel <br />Fern Bupbee <br />Daniel L. Flores <br />John D. Mast. M.D. <br />William J. Wade <br />Mary Anne Love <br />SANJAQUINLOCAL HEALTH DISTF,�T <br />1601 East Hazelton Avenue, P. O. Box 2009 <br />Stockton, Callfornia 95201 <br />209/466-6781 <br />Jopl Khanna, M.D., M.P.H., District Health Officer <br />AUTHORIZATION TO RELEASE ANALYTICAL RESULTS, GEOTECHNICAL DATA AND <br />SITE ASSESSMENT INFORMATION <br />SERVING <br />City of Lodi <br />San Joaquln County <br />City of Escalon <br />City of Manteca <br />City of Ripon <br />City of Stockton <br />City of Tracy <br />San Joaquin County <br />San Joaquin County <br />I, the undersigned owner and/or operator of the property and/or facility <br />located at STEVE & GENES AUTO REPAIR & SERVICE 2315 N. ELDORADO ST. STOCKTON, CA <br />hereby authorize CALIFORNIA WATER LABS <br />to release any and all analytical results, geotrechnical data and site <br />dssessment 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 />Ownef/Operator: c Title• Ac <br />Address 2315 N. ELDO ADO ST Phone (209) 463-4926 <br />STOCKTON, CA a <br />Date: 12/4/86 <br />EH 08 05 UGT 13 <br />