Laserfiche WebLink
BOARD OF TRUSTEES SAN JOAQUIN LOCAL HEALTH DISTRICT ; ' SERVING d <br /> • <br /> Cil y <br /> of y <br /> G+ailw <br /> Jamas Cv' n,Pras. San Joaquin County <br /> Mary Anna Love,Vice Pres. �1 East Hazellon Avenue, P.O. Box 2009 San Joaquin County <br /> Palri.ir E.Vannuccl,Sei y. City of Escalon <br /> Tommy Joyce Stockton, California 95201 <br /> City of Manteca <br /> Earl Pimenlel City of Ripon <br /> Virginia Mathews (209) 466-6781 City of Stockton <br /> Daniel L Flores Cil of Trac ` <br /> John D.Mast,M.D. Jogi Khanna,M.D..M.P.H.,District Health Officer :A: San y t <br /> San Joaquin County <br /> Gene S.Kraham <br /> AUTHORIZATION TO RI{LEASE ANALYTICAL RESULTS , GEOTECHNICAL DATA AND <br /> SITE ASSESSMENT INFORMATION <br /> I , the undersigned owner and/or operator of the property and/or facility <br /> located at .2.32 ` M yZ 1A?hZ ,5 ocA7-2e/, CA <br /> hereby authorizeA7_ I 'F�2J.11/4— 1 Jd4772;Z LRGdS <br /> to release any and all analytical results , geotechnical data and site <br /> assessment 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 /> Owner/Operato � �� Title: Corporate Secretary <br /> Address 2324 Navy Drive , Stockton, CA Phone : 209-948-4600 <br /> Date: 3- 8- 89 <br /> Ell 23 041 3/86 <br /> Ell <br />