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OCT-06-1991 20:36 FROM FALCON ENERGY TO 4655483 P.02 <br /> BOARD of TRUSTM SAN JOAQUIN LOCAL HEALTH DISTRICT SERVING <br /> AI Crow'Pres 1601 East Hazelton Avenue San Joaquin County <br /> Earl Plmentel,Nice PTCs City of Manteca <br /> Tommy Joyce,s9ey. Stockton,California 95205 City of Esceion <br /> Jame~F Culbertson City of Lodi <br /> John D.Mast M.O. dotal KNAm" M.D., FR PA., DISTRICT i4EALTH OFFICER City of Tracy <br /> Virginia Mathews City of Ripon <br /> Thwr►ea Schubert O.V.M. ENVIRONMENTAL HEALTH DIVISION San Joaquin County <br /> Daphne Shaw (200) 46$-04220 City of Stockton <br /> KmrM Willarruk PhD. San Joaquin County <br /> au-rHc3R z z^-r :r ori . •rC3 FRmL-F-=^SE: <br /> � ANALYTICAL RESULTS <br /> - GEOTECHNICAL DATA <br /> -w- ENVIRONMENTAL/SITE ASSESSMENT INFORMATION <br /> I, THE UNDERSIGNED OWNER AND/OR OPERATOR. OF THE PROPERTY AND/OR FACILITY <br /> LOCATED AT 235 CARDINAL WAY, STOCKTON, CALIFORNIA 95205 <br /> (STREET AOORESS) (CIT?) <br /> HEREBY AUTHORI ZE-j�Ql16.1CAi _AImTTAJE. r TFsTmn I ARS/PAI j: jN FNFRry <br /> (LA80900RY or CQRSULTAND <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 A5 IT I8 AVAILAPLE AND AT THE SAME TIME IT I5 PROVIDED <br /> TO ME OR MY REPRESENTATIVE. <br /> BUSINESS NAME_ <br /> (IF APPLICABLE) <br /> OWNER/OPERATOR: <br /> (LEASE PRINT) (TITLE) <br /> fS16NATUa<E) <br /> ADDRESS: P.11, PDX 11th <br /> (1hIL110 AOaRESS) <br /> STOCKTON, CALIFORNIA 95)-01 <br /> (CITI) ?STATE) (IIP) <br /> PHONE. f 209 ) <br /> 0 C T 0 9 1991 <br /> DATE: 7 DcTma, 91 ENVIRONMENTAL HEALTH <br /> twH 221 041 Revised 1/83 <br /> PERMIT/SERVICES <br /> Administration Cllrticol SvrrlCQs Crwiro manUil HccTth Public Hcaith Nursing <br /> 466-7409 4IM-3830 468-3420 468.3960 <br /> Air Ponuilon Community Services laboratory wo <br /> 460.3470 488-3020 4GB-7400 468-3200 <br /> TOTAL P.02 <br />