Laserfiche WebLink
• BOARD OF TRUSTEES S• JOAQUIN LOCAL HEALTH DISOICT SERVING <br /> N Crow,Pres. San Joaquin County <br /> Earl Plmenlel,Vice Pres. 1601 East Hazelton Avenue City of Manteca <br /> Tommy Joyce,Secy. Stockton, Californla 95205 City of Eacaion <br /> James F.Culbertson Cly of Lodi <br /> John D.Most,M.D. JOGI KHANNA, M.D., M.P.N., DISTRICT HEALTH OFFICER City of Tracy <br /> Virginia Mathews CI of ni on <br /> Thomas Schubert D.V.M. ENVIRONMENTAL HEALTH DIVISION Sen Joaquin County <br /> Daphne Shaw (2p9) 468-3420 City of Stockton <br /> Harvey Williams,Ph.D. San Joaquin County <br /> A U T H O Fz I Z A T I MM T E3 R E L E A S I=— <br /> ANALYTICAL <br /> ANALYTICAL RESULTS <br /> GEOTECHNICAL DATA <br /> -1* ENVIRONMENTAL/SITE ASSESSMENT INFORMATION <br /> I, THE UNDERSIGNED OWNER AND/OP, OPERATOR. OF THE PROPERTY AND/OP. FACILITY <br /> LOCATED AT 1210 South Vera avenue Ripon <br /> (STREET ADDRESS) (City) <br /> HEREBY AUTHORIZE Stockton Service Station Equipment Company, Inc. <br /> (LABORATORY or CONSULTANT) <br /> TO RELEASE ANY AND ALL ANALYTICAL 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: City of Ripon <br /> (if APPLICABLE) <br /> OWNER/OPERATOR: Everett L. Compton City administrator <br /> (/LEASE PRINT) (TITLE) <br /> (S16XAIUAE) <br /> ADDRESS.- 311 West First St <br /> (NAILING ADDRESS) <br /> Ripon, CA 95366 <br /> (CITY) (STATE) (lip) <br /> PHONES ( 209 ) 599-2108 <br /> DATE? February 12, 1990 <br /> EH 23 041 Revised 1/89 <br /> Administration Clinical Services Environmental Health Public Health Nursing <br /> 488.0400 468-3830 460-9420 468-3860 <br /> Air Pollutlon Community Services Laboratory WIC <br /> 460.3470 468-3820 468-3460 468-3200 <br /> AIDS Information 468-3820 <br />