Laserfiche WebLink
- 89 WED 1654 P 02 <br /> ,ARD o1 T1i113TEEs SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1: /I Crow,Pres, SERVING <br /> f Earl PlmentN,Vloe Pres. 1601 East Hazelton Avenue San Joaquin County <br /> Tommy Joyce,Secy, Stockton, California 95205 -City of Manteca <br /> // James F.Culbertson City of Escalon <br /> .,i_.. John D.Mast.M.D. JOGI KHANNA, M.D., M.P.H., DISTRICT HEALTH OFFICER City of Lodi <br /> Mfglnla Mathews City of Tracy <br /> Daphne Shaw <br /> Thomas Schubert D.V.M, ENVIRONMENTAL HEALTH DIVISION City of Ripon <br /> (209) 468-3420 Sen Joaquin County <br /> Hervey Willlems,PhD, City of Stockton <br /> ALITHOFR I ZAT ION REL TO Son Joaquin Counry, <br /> � <br /> ANALYTICAL RESULTS <br /> GEOTECHNICAL DATA h9AR g 1989 <br /> -if- ENVIRONMENTAL/SITE ASSESSMENT INFORMAY ff. ! ^=iN'�,IL I;F�\iTFj <br /> c12Pnli '-. <br /> I, THE UNDERSIGNED OWNER AND/OR0 ERATOR OF THE PROPERTY AND/OR FACILITY <br /> AletrIce t 6& par" c etf q <br /> LOCATED AT 134 South Sutter Street <br /> lSIR[EI ADDRES51 Stockton <br /> HEREBY AUTHORIZE California Anal tical Laborator EI <br /> (CITY) <br /> (195ORRILIRY 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 /> FIBUSINESS Cit of Stockte ---- ' of Public Works <br /> (IF A111TCARLU <br /> : WvuI Y lN(,c 6LS Se;ybt)r CtiVi t E <br /> (PLEASE 111x1) <br /> (11►LE) <br /> vJ <br /> (SISRA►DAEJ <br /> ADDRESS: Department of Public Works, 2Z--3-1-72- 425 North E1 Dorado <br /> (RAILIRA ADDRESS) <br /> Stockton California 95202 <br /> (CITY) (STATE) (1111 <br /> PHONE: C O ) L1q-827 <br /> DATE: VvLA,Yt'k `I, <<ISy COPY <br /> EH 23 041 Revised 1/89 <br /> Administration Clinical Services <br /> IgA-3400 468-3830 Environmental Health Public Health Nuraln <br /> .. 468-3420 .__ .. g <br />