Laserfiche WebLink
BOARD IF TRUSTEES SA`.a:' JOAQUIN LOCAL HEALTH DIS"r'AICT SERVING <br /> w :row,Pres 1 5 jqan Joaquin County <br /> Earl Pictorial,Vice Pros. 1601 East Hazelton AV8nU0 e' Ic71d City of Manteca <br /> Tommy Joyce,Sao'y. Stockton, California 95205 !i? City of Eacalon <br /> James F.Culbertson ww r r n rt Cly of Loll <br /> John 0.Mast,M.D. J0431 KHANNA, M.D., M.P.H., DISTRICT HEALTH OFFl 6B 2 1 1989 City of Tracy <br /> Virginia Mathews Cly of Ripon <br /> Thomas Schubert,D.V.M. ENVIRONMENTAL HEALTH DI V IS C�,{�},cr ti,Eldi .L NrALI;I San Joaqum County <br /> Daphns Shaw (209) 468-3420 PERMIT I SERVICES City of Stockton <br /> Harvey Williams,Ph.D. San Joaquin County <br /> AtIJTt—IC7F2I ZAT 10" TCI REL_EABE <br /> 40- ANALYTICAL RESULTS <br /> -aa GEOTECHNICAL DATA <br /> -- ENVIRONMENTAL/SITE ASSESSMENT INFORMATION <br /> 1 . THF UNgERSIGNED OWNER AND/OR OPERATOR OF THE PROPERTY AND/OR FACILITY <br /> LOCATED AT 1603 S - B Street, Shop 10 Stockton , CA <br /> (STREET ADDRESS) (CITY) <br /> HEREBY AUTHOR17E Placer Tractor <br /> (LARORAIORY or CONSULTANT <br /> TO RELEASE ANY AND ALL ANALYTICAL RESULTS, GEOTECHNICAL DATA AND/OR <br /> ENVIRONMENTAL/SITE ASSESSMENT INFORMATION TO THE SAN JOAQUIN LOCAL HEALTF. <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: Department of Transportation <br /> (IF APPLICASLE) <br /> OWNER,/OPERATOR: Charlese R. Brown Underground Storage Tank Coord. Dist. 10 <br /> (P SE PRINT) (TITLE) <br /> Q z�4&Z.,z A;�r, Y <br /> (SIGNATURE) <br /> ADDRESS: P.O. Box 2048 <br /> (RAILING ADDRESS) <br /> Stockton, CA 95201 <br /> (City) (STATE) (11P) <br /> PHONE: ( 209) 948-7406 <br /> DATE: February 16 , 1989 <br /> EH 23 041 Revised 1/89 <br /> Administration Clinical Services Environmental Health Public Health Nursing <br /> 468-3400 488.3830 468-3420 488-3860 <br /> Air Pollution Community Services Laboratory WIC <br /> 488.3470 468-3820 468-3480 488-3280 <br /> AIDS Inlnrmatlnn AAA..'1AN1 <br /> . I PC : hT GCI," T 111-1 - "ij <br />