Laserfiche WebLink
.;;; OF THUS1:� SAN JOAQUIN LOCAL HEALTH DISTRICT SE=RVING <br /> Lmea Culbenaon, Prue. City of Lodi <br /> Mary Anna Lova,Vice Pru. 1601 East Hazelton Avenue, P.O. BOKI <br /> San Joaquin County <br /> Patricia E.Vannuccl,Secy. \�Vdl i4 San Joaquin County <br /> Tommy Joyce Stockton, California 95201 D City of Escalon <br /> Earl Plmentel � 5 \� ' City of Manteca <br /> Virginia Mathews (209) 466-6781 ��`�._ � City of Ripon <br /> Daniel L FlorisR v, N��R HEAD-TH City of Stockton <br /> John D.Mut, M.O. Jog!Khanna,M.D.,M.P.H.,Dbtrkt Health OMcer 0 gV v10Es City of Tracy <br /> Cane S.Kraham EN FERM�T/S San Joaquin County <br /> AUTHORIZATION TO RELEASE ANALYTICAL RESULTS, GEOTECHNICAL DATA AND <br /> SITE ASSESSMENT INFORMATION <br /> I , the undersi ned owner,pand/or operator of the property and/or facility <br /> located at f(�D/rNf YG��1J^ �6 <br /> hereby authorize Zj4.,/errl'r; l✓Odjlf�G! <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 <br /> same time it is provided to me or my <br /> representative f,-4 � <br /> Owner/Operator: Roger L- Hnckenduhter Title : _Oparat;nns Manager <br /> Address Post Office Box 757 phone : 209-599-4241 <br /> Ripon, CA 95366 <br /> Date : July 21, 1988 <br /> Release authorization form for UST soil sample test results <br /> per attached letter. <br /> EH 08 05 UGT 13 <br />