Laserfiche WebLink
BOARD OF TRUSTEES SAN JOAQUIN LOCAL HEALTH DISTRICT SERVING <br /> Al Crow,Pres, Sen Joaquin Carry <br /> Earl Pimento[,Vice Pres. 1601 East Hazelton Avenue City of Manteca <br /> Tommy Joyce,Secy. Stockton, California 95205 City of Escalon <br /> James F.Culbertson City of Lodi <br /> John D.Most M.D. JOCI KHANNA, M.D., M.P.H., DISTRICT HEALTH OFFICER City of Tracy <br /> Vlrpinla Mathews City of Ripon <br /> Thomas Schubert D.V.M. ENVIRONMENTAL HEALTH DIVISION San Joaquin County <br /> Daphne Shaw (2m 468-3420 City of Stockton <br /> Harvey Williams,Ph.D. San Joaquin County <br /> AUTHOR I Z ^-r I ON TO RENLEABFEE <br /> -W ANALYTICAL RESULTS <br /> -e!- GEOTECHNICAL DATA <br /> ENVIRONMENTAL/SITE ASSESSMENT INFORMATION <br /> I, THE UNDERSIGNED OWNER AND/OR OPERATOR OF THE PROPERTY AND/OR FACILITY <br /> LOCATED AT 100 Block, East Locust Street, Lodi <br /> (STREET ADDRESS) (CITY) <br /> HEREBY AUTHORIZE Jim Thorpe Oil Co. <br /> (LADORATORY or CONSULTANT) <br /> TO RELEASE ANY AND ALL ANALYTICAL RESULTS, CaEOTECHNICAL DATA AND/OR <br /> ENVIP,ONMENTAL/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: City of Lodi <br /> (IF APPUCANLE) <br /> OWNER/OPERATOR: Richard C. Prima Assistant City Engineer <br /> (PLEASE; ) (TITLE) <br /> (5I6NATURE) <br /> ADDRESS: Call Box 3006 <br /> (19ILIN6 ADDRESS) <br /> Lodi CA 95241 -1910 <br /> (CITY) (STATE) (IIP) <br /> PHONE: < 209 7 333-6706 <br /> DATE: 5/1/89 <br /> EH 23 041 Revised 1/89 <br /> Administration Clinical Services Environmental Health Public Hoahh Nursing <br /> 468-3400 468-3830 468-3420 468-3860 <br /> Air Pollution Community Services Laboratory WIC <br /> 468-3470 468.3820 466.3460 468-3280 <br /> AIDS Information 468-3820 <br />