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CreRD OF TRUSTEES <br />I ow, Pres. <br />Earl Pimenlet, Vice Pres. <br />Tommy Joyce, Secy. <br />James F. Culbertson <br />John D. Mast, M.D. <br />Virginia Mathews <br />Thomas Schubert, D.V.M. <br />Daphne Shaw <br />Hervey Williams, Ph.D. <br />AIJTHC7F2I ZAT I ON TO F{EL_EA$E <br />SAN JOAQUIN LOCAL HEALTH DISTRICT <br />1601 East Hazelton Avenue <br />Stockton, California 95205 <br />JOGI KHANNA, M.D., M.P.H., DISTRICT HEALTH OFFICER <br />ENVIRONMENTAL HEALTH DIVISION <br />(21)9) 468-3420 <br />-I*- ANALYTICAL RESULTS <br />-+R- GEOTECHNICAL DATA <br />a+ ENVIRONMENTAL/SITE ASSESSMENT INFORMATION <br />SERVING <br />San Joaquin County <br />City of Manteca <br />City of Escalon <br />City of Lodi <br />City of Tracy <br />City of Ripon <br />San Joaquin County <br />City of Stockton <br />San Joaquin County <br />I, THE UNDERSIGNED OWNER AND/OP, OPERATOR OF THE PROPERTY AND/OP, FACILITY <br />LOCATED AT 125 EAST MAIN STREET RIPON, CA. 95366 <br />(SZREEI #DURESS) (CITY) <br />HEREBY AUTHORIZE CHROMOLAB 2239 OMEGA RD SAN RAMON, CA. 94583 <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 AVAILABLE AND AT THE SAME TIME IT IS PROVIDED <br />TO ME OR MY REPRESENTATIVE. <br />BUSINESS NAME: CAL -PACIFIC FOOD SALES, INC. <br />(IF APPLICABLE) <br />OWNER/OPERATOR: ROBERT H. IDE OWNER <br />(PLLE E/PJRIN-I�I II (TITLE) <br />- <br />(SIGNATURE) <br />ADDRESS: 125 EAST MAIN STREET OR P.O. BOX 89 <br />(NAILING ADDRESS) <br />RIPON, CA. 95366 <br />(CITY) (SIRE) (ZIP) <br />PHONE: ( 209) 599-2138 <br />DATE: 05-23-89 <br />EH 23 441 Revised 1/8'3 <br />Administration Clinical Services Environmental Health <br />468-3400 468-3830 468-3420 <br />Air Pollution Community Services Laboratory <br />466.3470 468.3820 468-3460 <br />AIDS Information 469-3820 <br />Public Health Nursing <br />468-3860 <br />NIC <br />468-3280 <br />