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BOARD DP TRUSTEES SAN JOAQUIN LOCAL HEALTH DISTRICT SERVING <br /> At:row,PIa3. San Joaquin Caunry <br /> Earl Plmentel,Vlce Pres. 1601 East Hazelton Avenue City 01 Manteca <br /> mmy Joyce,Secy. Stockton,Cafiiornia 95205 city of EscaiOn <br /> les f.Cult�aruon City of Lodi <br /> John D.Most,M.D. JOGI KHANNA, M.D., M.P.H., DISTRICT HEALTH OFFICER City of Tracy <br /> Virginia Mathewo Ciry of Ripon <br /> Thomas Schuborl.D.V.M. ENVIRONMENTAL HEALTH DIVISION San Joaquin County <br /> Daphne Shaw (209) 466-3424) City of Stockton <br /> Harvey Williams,Ph.D. San Joaquin County <br /> AUTHOR I Z^T I ON TO 1ZEL aASIE <br /> 'b+ ANALYTICAL RESULTS <br /> ae- GEOTECHNICAL DATA <br /> K- ENVIRONMENTAL/SITE ASSESSMENT INFORMATION <br /> i <br /> s <br /> I, THE UNDERSIGNED OWNER AND/OR OPERATOR OF THE PROPERTY AND/OR FACILITY <br /> LOCATED AT 851 E. Lodi Avenue, Lodi, CA <br /> l$TAEET ADBRES5/ (CirJ <br /> HEREBY AUTHORIZE McLaren Environmental, RanChD Cordova, CA (916) 638-3696 <br /> I (lAB8RAf0Ar or CdtlSBllAXT) <br /> TO RELEASE ANY AND ALL ANALYTICAL RESULTS, GEOTECHNICAL DATA AND/OR <br /> i <br /> ENVIT?flNMFN{'AL/SITE ASSESSMENT INFORMATION TO THE SAN JOAQUIN LOCAL HEALTH <br /> f <br /> "'DISTRICC AS SOON A5 IT IS AVAILABLE AND AT THE SAME TIME IT IS PROVIDED <br /> S <br /> TO ME OR MY REPRESENTATIVE~. <br /> BUSINESS NAME. Lodi Ready Mix <br /> (1F APPLICABLE) <br /> OWNER/OPERATOR;. <br /> (11EASE P IJl11 (111IE1 - <br /> t 40 <br /> ADDRESS: 851 E. Lodi .Ave. <br /> - (dA11{116 ABDAE551 <br /> Lodi, CA 95240 <br /> (C11r1 (STATE) (111) <br /> — =- - - -------PHONE:-:-(209---..)_.368-2794--- - - - ---- -- -- -- <br /> t <br /> . f . <br /> mow:. <br /> DATE: December 19, 1989 . <br /> I .. r <br /> . > EH: . 041 Revised 1/69 . <br /> Administration CIIniani Services Environmental Health Public Health Nursing <br /> 468-3400 : 468.3830 .468.3420 468.3860 - <br /> Alt Poflutlon Community Services Laboratory WIC <br /> 468.3470 488-3820 468.3+60 ;. 468.3280 <br /> AIDS Information 468.3820 <br />