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g A.RD Of, TRUSTEES SAN JOAOUIN LOCAL HEALTH DISTRICT SERVING <br /> Al Crow,Pres. San Joaquin County ` <br /> Earl Pimentel,Vlce Pres. 1601 East Hazelton Avenue City of Manteca <br /> Tommy Joyce,Sec'y. Stockton, California 915205 City of Escaion <br /> James F.Culbertson City of Lodi <br /> John D.Mast,M.D. JOGI KHANNA, M.D., M.P.N., DISTRICT HEALTH OFFICER City of Tracy <br /> Virginia Mathews City of Ripon <br /> Thomas Schubert,D.V.M. ENVIRONMENTAL HEALTH DIVISION San Joaquin County i <br /> Daphne Shaw (209) 468-3420 .�`�W Stockton <br /> Harvey Williams,Ph.D. San Joaq unty <br /> �UTHC3FZ I ZAT I c:)lN -r c3 IRE:L-LASE <br /> - ANALYTICAL RESULTS pti �+112 <br /> r, <br /> -* <br /> GEOTECHNICAL DATA f ljs� <br /> - - ENVIRONMENTAL/SITE ASSESSMENT INFORMATION <br /> I , THE UNDERSIGNED OWNER AND/Ofd OPERATOR OF THE PROPERTY AND/OR FACILITY <br /> LOCATED AT 1250 SOUTH WILSON WAY, STOCKTON, CA 95205 <br /> ( I-ADDRESS) (City) <br /> HEREBY AUTHOR ZE ff L,) A4,VI4-Cv-MEv) C' ,u s v i-rr•ry-r <br /> (LABORATORY or CONSULTANT) <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 AVAILADLE AND AT THE SAME TIME IT IS PROVIDED <br /> TO ME OR MY REPRESENTATIVE. <br /> BUSINESS NAME: FAIRGROUNDS INDUSTRIAL PARK <br /> (!i APPLICABLE) <br /> OWNER/OPERATOR: SYDNEY LEVIN OWNER <br /> (P ASE PRINT) (TITLE) <br /> AN&IL Q 11 1 JLc <br /> ` (SI6NR RE) <br /> ADDRESS: 1530 MERIDIAN AVENUE , SUITE 108 <br /> (NATLIN6 ADDRESS) <br /> SAN JOSE, CA 95125 <br /> (CITY) (STATE) (IIP) <br /> PHONE: (4.08—) _265-1444 <br /> DATE: SEPTEMBER 22 , 1989 <br /> EH 20 0741 Revised 1/89 <br /> 9 <br /> Administration Clinical Servicos Environmental Heafth Public Hoalth Nursing <br /> 468-3400 468-3830 468-3420 468.3860 <br /> Air Pollution Community Services Laboratory WIC <br /> 468-3470 466-3820 468-3460 4GB-3280 <br /> AIDS Information 468-3820 <br />