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BOARD OF TRUSTEES ON JOAQUIN LOCAL HEALTH ARICT SERVING <br /> At Crow,Pros. San Joaquin County <br /> Earl Pimenlel.Vice Pres. 1601 East Hazelton Avenue Joaquin <br /> 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. JOGI KHANNA, M.D., M.P.H., DISTRICT HEALTH OFFICER City of Tracy <br /> Virginia Mathews Clry of Ripon <br /> Thomas Schubert,D.V.M. ENVIRONMENTAL HEALTH DIVISION San Joaquin County <br /> Daphne Show (2(-19) 466-3421.1 City of Stockton <br /> Hervey Williams,Ph.D. San Joaquin County <br /> A U T H OFZ I Z ^-r I O N T O R E L E A S E <br /> it ANALYTICAL RESULTS <br /> GEOTECHNICAL DATA <br /> K ENVIRONMENTAL/SITE ASSESSMENT INFORMATION <br /> I , THE LINDERSIGNED OWNER AND/OR OPERATOR OF THE PROPERTY AND/OP, FACILITY <br /> LOCATED AT 142 S. Stockton Avenue, Pioon , CA 95366 <br /> (STREET 9119RESS) . (CITY <br /> HEREBY AUTHORIZE Canonie Environ. , Stockton, CA (209f 942-0181 <br /> (LABORATORY or CONSULTANT) <br /> TO RELEASE ANY AND ALL ANALYTIr_AL RESULTS, GEOTECHNICAL 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: RIPON CONSOLIDATED FIRE DISTRICT <br /> (IF APPLICABLE) <br /> OWNER,/OPERATOR: GENE VANDER PLAATS FIRE CHIEF <br /> (PLEASE PRINT) (TITLE) <br /> ( / 144 L t A6Ln I' wi <br /> (S16NATURE) <br /> ADDRESS: 142 S. Stockton Avenue <br /> (NAILIN6 ADDRESS) <br /> Ripon CA. 95366-2759 <br /> (CITY) (STATE) (lip) <br /> PHONE: ( 209 ) 599-4209 <br /> DATE: May 14, 1990 <br /> EH 23 041 Revised 1/139 <br /> Administration Clinical Services Environmental Health Public Health Nursing <br /> 468-3400 468-3830 468-3420 468.3860 <br /> Air Pollution Community Services Laboratory WIC <br /> 468.3470 468.3820 468-3460 468-3280 <br /> AIDS Information 468-3820 <br />