Laserfiche WebLink
t - <br /> �A <br /> James Culbenson. Praa,sokFtb or 1AUStErS <br /> SA�AQUIN LOCAL HEALTH DISTCT SERVINo <br /> • <br /> l nihonelle Vrl E. V an SpronSen Avenue, 00nuccl, SecCllyoltodl <br /> y. 1601 East Hazelton AP. O. Box 29 San Joaquin County <br /> An1110 <br /> calon <br /> E=arl Pfinenlel Slockton. California 95201 City <br /> of Eanteca <br /> Fern Bugbee Clly o!Manteca <br /> Daniel L. Flores 209/46"781 City of Ripon <br /> John D. Mast. M.D. City of Stockton <br /> City of Tracy <br /> William J. Wade Jog[ Khannk M.0.. M.P.H.. Diatrlct Health Officer San Joaquin County <br /> Mary Anna LDYe <br /> San Joaquin County <br /> AUTHORIZATION TO RELEASE ANALYTICAL RESULTS, GEOTECHNICAL DATA ANDSP 2 1 1988 <br /> SITE ASSESSMENT INFORMATION ENVIRONMENTAL HEI~ LTH <br /> PERMIT/SERVICES <br /> I. the undersigned owner and/or operator of the property and/or facility <br /> located at 1847 N. WTL$M WAY, STQCKTON CA <br /> hereby authorize y P{L j NET 90N TARf}RA'1T}RY <br /> to release any and all analytical results, geotechnical data and site <br /> dssessment information to the San Joaquin Local Health District as soon <br /> as it is available and at the sable time it is provided to me or my <br /> representative. <br /> Owner/Operator: Title: 161 <br /> V <br /> Address 9799_EMNWOM 'RD SMOO 1, CA,- 95212 Phone: 931 4967 <br /> Date: <br /> 111 08 05 UGT 13 <br />