Laserfiche WebLink
BOARD OF TRUSTEES SAN JOAQUIN LOCAL HEALTH DISTRICT SERVING <br /> James Culbertson,Pres. City of Lodi <br /> Mary Anna Love,Vice Pres. 1601 East Hazelton Avenue, P.O. Box 2009 San Joaquin County <br /> Patricia E Vannucci,Secy. San Joaquin County <br /> Tommy Joyce Stockton, California 95201 City of Escalon <br /> Earl Pimentel City of Manteca <br /> Virginia Mathews (209) 466-6781 City of Ripon <br /> Daniel L Flores City of Stockton <br /> John D.Mast,M.D. Jogi Khanna,M.D.,M.P.H.,District Health Officer City of Tracy <br /> Gene S. Kraham 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 mob l Stoc,rctnn 'Termi n 1 3505 Navy Drive Stockton , CA <br /> hereby authorize <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 5s available and at the same ti.-- 4t is provided to :re or my <br /> representative. <br /> Owner/Operator: /tif�BiZ oiL � C�� Title: :jEtd 6-jepe . <br /> Address o, Pax —,/2-7 Phone: 1-1 <br /> c•4. 9s�a`v <br /> Date: ��0C 2 <br /> Mobil Oil Corporation will not authorize the direct release <br /> of analytical or technical data gathered by Mobil ' s contracted <br /> ccnsultants . Such data will be forwarded to the County Health <br /> District by Mobil upon receipt of the consultant ' s report . <br /> i1 <br /> 4, <br /> SEP 7 Q f937 <br /> ENVIROMENTAL HEALTH <br /> EH 08 OS UGT 13 F ERMIT/SERVICES <br />