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30Ua0 OF TRIIBTEEa <br /> At Crow,pmCAL HEALTH PICT <br /> Eaa Plmentel,vice Prea r r 6EaVINO <br /> TommyJryoa,Soey, 1601 East Hazelton Avenue son Joaquin County <br /> Jame*F,wwrtaon Stockton.Galilornia 95205 City of Manteca <br /> John 0,Mur,M,O. JOG' KHANNAOf <br /> . M,D?N.P.N., DISTRICT HEALTH OFFICER Cry of f fLool <br /> 100 <br /> virylnla Mathews CNy oob) <br /> Cny of Ripon <br /> Thom"80hubarr,O.V.M. ENVIRONMENTAL HEALTH DIVISION Gy ofTrary <br /> Daphne Shaw Ripon <br /> Han,ayvmama,Ptw. (209) 468-3420 Son JoagWnCounty <br /> cly of stacwwn <br /> _ AU,rF40IR I z^-r T 0h4 TCI FtEL.EAf3M MCouny <br /> ANALYTICAL RESULTS _..._. <br /> rr GEOTECHNICAL DATA <br /> ( +* ENVIRONMENTAL/BITE ASSESSMENT INFORMATION <br /> II Ia THE UNDERSIGNED OWNER ANO/OR OPERATOR OF THE PROPERTY AND/OR FAC T <br /> LOCATED AT � N IL 7Y <br /> c it �f <br /> (f1Aff1 AIOA(fS1 A <br /> HEREBY AUTHORIZE - <br /> r ( �r <br /> TO RELEASE ANY AND ALL ANALYTICAL RESULTS, GEOTECHNICAL DATA AND/UR <br /> ENVIRONMENTAL./SIT _ ASSESSMENT INFORMATION TO THE SAN JOAQUIN LOCAL HEP.! i <br /> 1W.'RIOT AS SOON AS IT IS AVAILABLE AND AT THE SAME TIME IT IS PROVIDE, <br /> TO ME OR MY REPRESENTATIVE. <br /> FOWNER/OPEERATORI <br /> E t_ - ��jd/� c�1 �•i r / _ <br /> J <br /> (if ArflICA1Ll1 <br /> _ <br /> wN <br /> ulfAA14) <br /> (1161A <br /> ADDRESSt <br /> r1Alltl/ AllAfffl •1 "-'""" `�------- - - <br /> C N rl <br /> tcnn ( a_ <br /> srlrf) <br /> (rrr) <br /> PHONE t <br /> OTE4 <br /> EH 23 041. Revised 1/89 <br /> Administraoon Canlcel aarvic" <br /> 488.3400 488-SA3Q EnvironmentaltNaIUI f'uunc Nem,' .. ,.wrny <br /> - " 3420 <br /> Air P 488 98Ap <br /> oflutlM <br /> Community <br /> 466.3470 468-3= ce* L68.3460 <br /> 466 3460 WIC <br /> 486.3260 <br /> AIDS InfOn" 0n 488-3,40 <br />