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BOARD Of TRUSTEES c'N JOAQUIN LOCAL HEALTH D 'RICT <br /> I <br /> At Crow,Prea. SERVING <br /> Ear,Pimental,Viae Pros. �. 1601 East Hazelton Avenue i¢� , San Joaquin County <br /> Tommy Joyce,Seo'y. Stockton, California 95205 I1+�'� �I I 0j City of Manteca <br /> James P.Culbertson City of Eacalon <br /> City of Lodi <br /> Virginia Mathews <br /> John 0.Mast M.D. JOGI KHANNA, M.D., M.P,H„ DISTRICT HEALTHoffW2 1 1989 City of Tracy <br /> Thomas Schubert D.V.M. ENVIRONMENTAL HEALTH DIV {��q ����t City of Ripon <br /> Daphne Shaw �i'IiT'"�.1VI�iEIJiAL HEALTH San Joaquin County <br /> Harvey Williams,Ph.D. (209) 468-3420 PERMIT/SERVICES City at Stockton <br /> San Joaquin County <br /> ALJT11-iC1K2I ZAT I o" -ro RELEASE <br /> as ANALYTICAL RESULTS <br /> GEOTECHNICAL DATA <br /> �+ ENVIRONMENTAL/SITE ASSESSMENT INFORMATI )N <br /> I, THE UNDERSIGNED OWNER AND/OP. OPERATOR OF THE PROPERTY AND/OR FACILITY <br /> LOCATED AT 24155 South Corral Hollow Road, Tracy, CA <br /> (STREET ADDRESS) (CITY) <br /> HEREBY AUTHORIZE SENtCO <br /> UhRORATOAY or CONSULTANT) <br /> TO RELEASE ANY AND ALL ANALYTICAL 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: California Department of Transportation <br /> (IE APPIICADLE) <br /> OWNER,/OPERATOR: Charlese R. Brown Underground Storage Tank Coord. Dist. 11 <br /> lP ASE PRINT) (TITLE) <br /> (S16NAIURE) ��, I <br /> ADDRESS: P.O. Bo'; 2048 <br /> (NAILI16 ADDRESS) <br /> Stockton , CA 95201 <br /> (CITY) (STATE) (!IP) <br /> PHONE: ( 209 ) 948-7406 <br /> DATE; February 10 , 1989 <br /> EH 23 041 Revised 1/89 <br /> Administration Clinical Services Environmental Health <br /> 468.3400 488.3830 468-3420 Public Nursing <br /> 4808-388-3$80 <br /> Air Pollution Community Services Laboratory MC <br /> 468.3470 468.3820 488.3460 <br /> 488.3280 <br /> AIDS infnrmatinn aRa.AAM <br /> ' d 65 : t i 66-'V I .'Zo WC,d <br />