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BOARD OF TRUSTEES SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> AI Crow,Pres' SERVING <br /> Earl Plmentol,Vice Pres, 1601 East Hazelton Avenue San Joaquin County <br /> Tommy Joyce,Secy. Stockton, California 95205 City of Manteca <br /> James F.Culbertson <br /> John D.Mask M.O. JOGI KHANNA, M.D., .P.II., DISTRICT HEALTH OFFICER City of Lodi <br /> Virginia Mathews MCly of Escalon <br /> Thomas Schubert D.V.M. Cityof Tracy <br /> Daphne Shaw ENVIRONMENTAL HEALTH DIVISION Cly of Ripon <br /> ►a (209) 468_3420 San Joaquin County <br /> Harvey Williams,Ph.D. City of Stockton <br /> AUTHOFZ I ZA-r I C3M TO ::ZEL_EASE Sen Joaquin County <br /> ANALYTICAL RESULTS <br /> K GEOTECHNICAL DATA <br /> NMENTAL/SITE ASSESSMENT INFORMATION <br /> I, THE UNDERSIGNED OWNER AND/OR OPERATOR, OF THE PROPERTY AND/OP, FACILITY <br /> LOCATED AT West Main Street Stockton, CA <br /> HEREBY AUTHORIZE —4"A <br /> SRff/ ADDRESS! 15111! <br /> Tra e i ,T <br /> t,veST- 44I35' <br /> (LABORATORY or 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 <br /> Utility District <br /> (1f APPUCABIEI <br /> OWNER/OPERATOR: -SPQnC*--Bsar_c_ <br /> U[EASI PAlgll u <br /> (I11[fl <br /> ADDRESS: West Main Street Stockton, CA <br /> (ARMING ADDRESS) <br /> (CIE/1 (SIAEE) (EUI <br /> PHONE: ( 209) 463-2463 <br /> DATE: August 15, 1989 <br /> EH 23 041 Revised 1/89 <br /> Administration Clinical Services <br /> Environmental Health Public Nursing <br /> 468-3400 468-3830 <br /> 468-3420 469-3863-38 60 <br /> Air Pollution Community Servlcea <br /> LaboratorU-34660 <br /> 460-3470 46,8.3820 40 WIC <br /> 468.3 468.3100 <br />