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• BOARD OF TRUSTEES AN JOAQU <br /> !N LOCAL HEALTH DiSTR1GT <br /> At Craw.Pres. SERVING <br /> A Earl Pimentel,Vice Pros. 1601 East Hazeilon Avenue Sen Joaquin County <br /> Tommy Joyce,Secy. StocktonCalifornia 85205 City of Manteca <br /> , <br /> James F.Culbertson <br /> Jahn D.MeaCity of Escalan <br /> Moak JOGI KHANNA. M.D., M.P.I1., DISTRICT HEALTH OFFICER City of L odl <br /> Virginia Mathews <br /> wa <br /> Thomas haw ENVIH DIVISION City of Tracy <br /> Daphne Spew D y� ENVIRONMENTAL HEALTH City of Ripon <br /> in County <br /> u <br /> Harvey Williams,PhD. (209) 468--3420 City San Joaquin <br /> Stockton <br /> AUT'HC3F;c, I ZAT" ' ON -r© IRFLEASE San Joaquin County <br /> ' - ANALYTICAL RESULTS <br /> ' GEOTECHNICAL DATA <br /> -�- ENVIRONMENTAL/SITE ASSESSMENT INFORMATION <br /> I, THE UNDERSIGNED OWNER AND/QR OPERATOR OF THE PROPERTY AND/OR FACILITY <br /> LOCATED AT---.16177 So , McKinley Lathro <br /> (5111ft AIDAESs) (City) <br /> HEREBY AUTHORIZE Candor Earth Technologies Inc . <br /> (L48094108y Q? NS <br /> TO RELEASE ANY AND ALL ANALYTICALRESULTS, 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 /> Fr8lUSINESS NAME: Sullivan & Mann Lumber Co . <br /> (1F 0KICABLE) <br /> OWNER/OPERATOR: Morton Sullivan - Owner <br /> (LEASE P110) (111LO <br /> lSl6�AtUltE) <br /> ADDRESS: PO Box 45 7 <br /> (IJIL 111$ 1�GRESS) <br /> Jackson CR 95642 <br /> (City) 01,1110 (ZIP) <br /> PHONE: +( 209 ) 223- 1676 <br /> DATE: <br /> EH 23 041 Revised 1/8,9 <br /> Administralton Clinical Services Environmental Health <br /> 460.3400 468-3&W 468-3420 Public Health Nursing <br /> _ <br /> Air Pollution Community samces 468-3860 <br /> —�-8W <br /> 460.3470 460.3920 Laboratory WIC <br /> 460-3460 468.3290 <br /> AIDS Information -468-3820 <br />