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r <br /> R. -.i <br /> kG <br /> BOARD OF TRUSTEES SAN JOAQUIN LOCAL. in HEALTH DISTRICT San SERVINGCou <br /> ty <br /> All crow.Pres. i 601 East Hazolton AvonUG City of Manteca <br /> Ear;Plmenta4 Vice Pres. Stockton,Cali!omla 95205 City of E6calon <br /> Tommy Joyce.5ecy. City of Lodi <br /> James F.CulbertsonCI of Tray <br /> Sohn D.Mast.M.D. JOGI KHAHHA,M.D., f�i P•i1•, DISTRICT HEALTH OFFICER Cly of Ripon <br /> VlrpinlaMathews ENVIRONMENTAL HEALTH DIVISION San Joaquin County <br /> Thomas Schubert D.V.M. City al Stockton <br /> Daphne Shaw (109) 45E3-3420 San Joaquin County <br /> Harvey Williams,Ph-D. <br /> AU-r 0 F I z ON -ro IzEl—EASE <br /> -ss.- ANALYTICAL RESULTS <br /> rc- GEOTECHNICAL DATA <br /> E ENVIRONMENTAL/SITE ASSESSMENT INFORMATION <br /> I, THE UNDERSIfaNED OWNER AND/OR OPERATOR OF THE PROPERTY AND/OR FACILIT`f <br /> LOCATED AT 1?300. Jahlnt Road Clements Ca95227(CIIF) <br /> 0-IREEF ADDRESS) <br /> HEREBY AUTHORIZE— (LA80RAlQA aP Ct38S8lFAY.1) <br /> TO RELEASE ANY 0Z ALL ANALYTICAL RESULTS, GEOTECHNICAL DATA AND/OR <br /> ENVIRONMENTAL/SI'iE 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 REPRESE;NTATIVEE. <br /> BUSINESS NAME: ClaudQ C. Wood Co. <br /> tIF APPLICABLE) <br /> OWNER/OPERATOR: Represenative- Dave l�arralrl <br /> Vice-President/Aggregates <br /> (PLEASE PRI81) (fIIlE) <br /> (>ISRAIItR <br /> ADDRESS: F 0 Box 599 <br /> (NAARIRu ADDRESS) <br /> A 95241 <br /> (CITY) (STAR) (ZIP) <br /> PHONEt ( 209 ) 3344790 <br /> DATE: August 22,1989 <br /> EH LS 041 Revised 1/09 <br /> — - — -.. <br /> Clinical services Envlronmontal Iso81Sh Pu6licHoallh Nursing---- - ------------------ <br /> Admwmration 468-3420408-3860 <br /> 468-3400 468-3830 <br /> Laboratory WIC <br /> Air Pollution Communiy Services 408-34604G8-3280 <br /> 458-3470 468.3820 <br /> AIDS lnrorrca8on 468.3820 <br />