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BOARD OF TRUSTEES SAN J AQU1N LOCAL HEALTH DISTRICT $SAVING <br /> A!Crow,Praa <br /> Earl PlmMtai,VIC$Pr". 1601 East Hazelton Avenue San Joaquin County <br /> Tommy ion*,sfoy, Stockton, California 95205 City 01 Manteca <br /> Jam"P,Culbertson City of Eacalon <br /> John D,Mut,M0, J001 K NNA• M.O., M.P.H., DISTRICT NEALTN CFFICSR City of Lodi <br /> Nrylnla Mathaw4 City of Tracy <br /> ThOmaa SohuoetL D.V.M. ENV I ONMENTAL HEALTH DIVISIONCityof Ripon <br /> Daphne thaw San Joaquln County <br /> Harvey Wilhoml,Ph-D, (209) 468-34::0 City of 8locklon <br /> 8411 Joaquin County <br /> ' <br /> 0%u6 "0m l = ATI 4N TC7 REI Aa£S 1c <br /> ANALYTICAL RESULTS <br /> GEOTECHNICAL DATA <br /> 410, ENVIRONMENTAL/SITE A66ESSMENT INFORMATION <br /> Ir THE UNDERSIGNED OWNER AqD/OR OPERATOR OF THE PROPERTY ANO/OR FACILITY <br /> LOCATED AT !goo "E" Fremont treat Stock.tan, CA 95205 <br /> (Sit[E1 <br /> HEREBY AUTHORIZE ADDRESS tical La')s (CITY) <br /> fLADO 4109Y Or CONSULTANT) <br /> TO RELEASE ANY AND ALL ANAVTICAL RESULTSr GEOTECHNICAL DATA AND/OR <br /> ENVIRONMENTAL/SITE ASSESSMENT INFORMATION TO THE SAN JOAQUIN LOCAL HEALTH <br /> DISTRICT AS SOON AS IT IS i'lVAILASLE AND AT THE SAME TIME IT IS PROVID.E-D <br /> TO ME OR MY REPRESENTATIVE <br /> 'iUSINESS NAME$ F <br /> (1/ A UCASIU <br /> OWNER/OPERATOR: Peter itu ula <br /> (PLEASE PA NI (1111(1 <br /> J <br /> (S16AA UAEJ <br /> ADDRESS$ _2286 Sto e E1Vd. <br /> (AAltl$D ADDd�SSJ <br /> w, Sae>'dlnentc, CA 95677 <br /> (CITY) (5iA70 (ZIP) <br /> PHONEs C C;10 ^ <br /> 1 <br /> DATES <br /> Dec. 6 , 1990 <br /> EH 22 cal Revised 1/09 <br /> A41mINstraaon Cllnt I Serviooa Environmentai If"i+n PuUlic Koafth Nuraln0 <br /> 40.0400 A •0690 464.3420 465.3800 <br /> Air Pollull0A Comm ity SeMCel Lobof0tory WIC <br /> 400,3470 4 .3470 AU-0400 400.3200 <br />