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FROM 4^7 11 / 04 / 88 19 : 12 P . 2 <br /> BOARD OF TfRusTEEs SAN JOAQUIN LOCAL HEALTH DISTRICT SERVING <br /> AI crow, prea. San Joaquin County <br /> Pimentel, Vico Pres, _ 1601 East Hazelton Avenue City of Manteca <br /> Tommy Joyce, Secy. Stockton, California 95205 City of Escalon <br /> James F, Culbertson <br /> John D. Maas M.D. JOGI XHANNA, M.D., M.P.H., DISTRICT HEALTH OFFICER <br /> of Lodi <br /> CER City of Tracy <br /> Virginia Mathews <br /> i Thomas SchubaM O.Y.M- San Joaquin <br /> Ripon <br /> uin County <br /> Daphne Shaw City of Stockton <br /> Harvey Williams, PhD, San Joaquin County <br /> AUTHORIZATION TO RELEASE ANALYTICAL RESULTSt GROTECHNICAL DATA AND <br /> SITE ASSESSMENT INFORMATION <br /> I . the undersigned owner and / or operator of the property and / or facility <br /> located at 1045 WEST CHARTER WAY , STOCKTON , CALIFORNIA _ <br /> hereby authorize LDER _ <br /> to release any and all analytical results , geotechnical data and site <br /> assessment information to the San Joaquin Local Health District as soon <br /> as it is available and at the same time it is provided to me or my <br /> representative . (� <br /> Owner/Operator : Yv �L FI/blveAI� ��� �! _Title ; _ ArTl - <br /> Address P 6 � ISZ 8 Phone : <br /> Date : 1 ? - 30� 518 <br /> EH 23 041 3/ 86 <br /> Administration Clinical Services Environmental Health Public Health Nursing <br /> 4661 468-3830 <br /> 466.3420 468.3860 <br /> Alr Pollution Community Services Laboratory WIC <br /> 466b3470 468-3820 486-3460 468-3280 <br /> AIDS Information 468.3820 T 0 T A L P . 2 <br />