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BOARD OF TRUSTEES SAN JOAQUIN LOCAL HEALTH DISTRICT ` fi CT V G <br /> AI Crow,Pres. 0 C T Lam',jin County <br /> Earl Plmentat,Vice Pres 1601 East Hazelton Avenue cityof Manteca <br /> Tommy Joyce,Secy. Stockton, California 95205 ENVIRONMENTAIatyl$1, ic-kpn <br /> James F.Culbertson PERMIT/S. ,,i;-C-ty•of Lodi <br /> John D.Meal,M.D. JOGI KHANNA, M.D., M.P.M. DISTRICT HEALTH OFFICERfly�I Tracy <br /> Virginia Mathews City of Ripon <br /> Thomas Schubert,D.V.M. ENVIRONMENTAL HEALTH DIVISION San Joaquin County <br /> Daphne Shaw (209) 468-3420 City of Stockton <br /> Harvey Willlams,Ph.D. San Joaquin County <br /> AUTHOR I ZAT I Ohl TO RELEASE <br /> -04- ANALYTICAL RESULTS <br /> -1* GEOTECHNICAL DATA <br /> ENVIRONMENTAL/SITE ASSESSMENT INFORMATION <br /> Ir THE UNDERSIGNED OWNER AND/OR OPERATOR, OF THE PROPERTY AND/OR FACILITY <br /> LOCATED AT West Main Street Stockton, CA <br /> (S1REE1 ADDRESS) (City) <br /> HEREBY AUTHORIZE Trace Analysis <br /> (LABORAIORy or CONSOLIANI) <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: East Bay Municipal Utility District <br /> (IF APPLICABLE) <br /> OWNER/OPERATOR: D"O� �}n/CrS <br /> OLEASE PRIMA (IlilE1 <br /> (S1GRA(URE) <br /> ADDRESS: West Main Street Stockton, CA <br /> (RAILING ADDRESS) <br /> (City) (SI41E) (ZIP) <br /> PHONE: ( 209) 463-2463 <br /> DATE: August 15, 1989 <br /> EH 23 041 Revised 1/89 <br /> Administration Clinical Services Environmental Health Public Health Nursing <br /> 468-3400 468-3830 468-3420 460-3860 <br /> Air Pollution Community Services Laboratory WIC <br /> 460-3470 468.3820 468-3460 408.3200 <br />