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0 i <br /> SWO OF TRUSTEES SAN JOAQUIN LOCAL HEALTH DISTRICT SERVING <br /> San Joaquin County <br /> Al Crow,Pru 1601 East Hazelton Avenue City of Mantaca <br /> Far/Pbantal,vice Pros. Ci of Escaion <br /> Tommy Joyce.Spy, Stockton,California 93205 City <br /> City o1Lo0i <br /> Jima F.CulbertsonCity of Tracy <br /> John D.Mak M.D. JOGI KHANNA, M.D., M.R.H., DISTRICT HEALTH OFFICER City of Ripon <br /> Virginia Mathews <br /> Thomas Schubert D.V.M. ENVIRONMENTAL HEALTH DIVISION San Joaquin Stockton <br /> am <br /> DaphM Shaw (209) 468-3420 San CityofJoaquin Count' <br /> Hervey Wiflis,Ph.D. <br /> A U T H O R I Z A T I O N T O R E L E A53 E <br /> 441- ANALYTICAL RESULTS <br /> -as- GEOTECHNICAL DATA <br /> ee ENVIRONMENTAL/SITE ASSESSMENT INFORMATION <br /> I, THE UNDERSIGNED OWNER AND/OR OPERATOR OF THF PROPERTY AND/OR FACILITY <br /> LOCATED AT 6215 Tam O'Shanter, Stockton, CA <br /> (STREET APPRESS) (CITY) <br /> HEREBY AUTHORIZEnonie Environmental , Stockton. CA 443-1340 <br /> (LABORATORY or CORSILIARU <br /> TO RELEASE ANY AND ALL ANALYTICAL RESULTS, GEOTECHNICAL DATA AND/OR <br /> ENVIRONMENTAL/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: NC)RMAC INC__ <br /> (IF APPLICAILE) <br /> OWNER/OPERATOR: MICHAEL SYPOLT PRESIDENT <br /> (PLEASE PRINT) (TITLE) <br /> LA Sa, �11W - <br /> (S IATORE) 1 � <br /> ADDRESS: P .O. BOX 214097 <br /> (IAILIH AI RESSI <br /> SACRAMENTO CA. 95821 <br /> (CITY) (STATE) (IIP) <br /> PHONE: ( 91 6) 482-2924 _— <br /> DATES 6-1 _89 <br /> EH 23 041 Revised 1/89 <br /> -,�(- AdmWstra9on Cgnlcal Somica Environmental Health Public Health Nursing <br /> l_) 468-34W 468.900 4e8-5420 4911-9860 <br /> AIr Pollution Community SeMCaa laboratory WIC <br /> 4a41-5470 466-3910 466-5490 466.3M <br /> AIDS mlormaYon 466-361D , <br />