Laserfiche WebLink
r <br /> JameBOARs <br /> or noun. P,a SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> James Culparteon, Pree. SERVING <br /> Patrlcla E. Vannuccl, Secy <br /> Lodi <br /> Anlhonelle Van SproSan Joaquin County neen 1601 East Hazelton Avenue, P. O. Box 2009 city or u <br /> Earl Plmnnlnl unty <br /> Fern Buppoo Stockton. California 95201 City of Efcalon <br /> Daniel L. Florae209/466-6261 Clty of Manteca <br /> City of Ripon <br /> John D.J. <br /> Wade <br /> M.D. City of Stockton <br /> MaryWilliA J. Wade J091 Khanna. M.D, City of Tracy <br /> Mary Anne Love Q M.P.H., District Health Offlcar <br /> San Joaquin County <br /> San Joaquin County <br /> AUTHORIZATION TO RELEASE 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 S T Service' s <br /> hereby authorize California Water Labs <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/Operator: Title: <br /> Address 9 9��j/�� <br /> ram 0� <br /> Phone: 26> <br /> fL <br /> Date: <br /> EH OR Or <br />