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v <br /> 1JRme7,IwF. <br /> TRUSTEES SAN JOAQUIN LOCAL HEALTH STRICT SERVING <br /> s San Joaquin County <br /> at Vtce Pres, 1601 East Hazelton Avenue - City of Manteca <br /> ce.Secy. Stockton,California 95205 City of Escalon <br /> lbertson City of Lodi <br /> John D.Mast M.D. JOGI KHANNA, M.D., M.P.H.. DISTRICT HEALTH OFFICER City of Tracy <br /> Wginle Mathews City of Ripon <br /> Thomas Schubert D.V,M. ENVIRONMENTAL HEALTH DIVISION San Joaquin County <br /> Daphna Shag (2o9) 468-3420 City of Stockton <br /> Harvey Williams.Ph.D. San Joaquin County <br /> AUTHC3F;z I ZAT I ©1%.1 TO Rt—=L.EASE <br /> 44- ANALYTICAL RESULTS <br /> - - GEOTECHNICAL DATA <br /> - - ENVIRONMENTAL/SITE ASSESSMENT INFORMATION — <br /> I, THE UNDERSIGNED OWNED AND/OP, OPERATOR OF THE PROPERTY AND/OP. FACILITY. <br /> LOCATED AT 141 El Dorado Street, Stockton, California <br /> (STREET ADDRESS) . (C11r) <br /> HEREBY AUTHORIZE _ Superior Arial ytical -Laboratory. Inc.__ <br /> (tABORAIORY 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 /> I BUSINESS NAME: Leedshill-Herkenhoff, Inc . <br /> (IF APPLICABLE) <br /> OWNER/OPERATOR: Gerry Nakano, Vice President <br /> (PLEASE PRINT) (TITLE) <br /> (516NAIURE) <br /> ADDRESS: 303 Second Street, Suite 88014orth <br /> (TAILING ADDRESS) <br /> San Francisco, California 94107 ------ <br /> (CITY) (STATE) (ile)' <br /> PHONE: ( 415 ) 243-9980 <br /> DATE: September 10, 1990 <br /> EH 041 Revised 1/09 <br /> Administration Clinical Services Environmental lisalth public Health Nurslnq <br /> 46a-3400 46a-3e3o 468-3420 463-3860 <br /> Air PontAtion Community services <br /> Laboratory t,M� <br /> 468-3470 468.3820 46a-34Co 468.3200 <br /> A'DS Information 4C8-38.'o - <br />