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FROM 11 / 04 / 88 19 : 12 P . 2 <br /> BOARD OF TRUSTEES SAN JOAQUIN LOCAL HEALTH DISTRICT SERVING <br /> At Crow, Pre& San Joaquin county <br /> Earl Plmentel, Vice Pres. 1601 East Hazelton AVenua City of Mameca <br /> Tommy Joyce, Sec'y. Stockton, California 95205 <br /> alon <br /> James F, CulbertsonDCity of of Lodi CCityJohn D. Mast M . JOG/ KHAHHA, M.D., M.P.H., DISTRICT HEALTH OFFICER Cityoff Tracy <br /> Virginia Mathews <br /> Thomas Schubert, OV-M. City a Ripon <br /> San Joaquin Courcy <br /> Daphne Show City of Stockton <br /> Harvey Williams, PhD, San Joaquin County <br /> AUTHORIZATION TO RELEASE ANALYTICAL RESULTS , GEOTECHNICAL 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 KLETNFELDER <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 . II n <br /> Owner / Operator : y � �� GV2�ve� tf2s //� Tit1c : 1KY <br /> Address _ P b le3Cpx I Sz 8 Phone : 2-03 ) /f� SS F98i <br /> Date : <br /> EH 23 041 3 / 86 <br /> Adminlatrallon Clinical Services Environmental Health Public Health Nursing <br /> 468-3400 468-3830 468.3420 465.3860 <br /> Air Pollution Community Services Laboratory WIC <br /> 488.3470 468-3820 488.3480 468 .3280 <br />