Laserfiche WebLink
SITE MITIGATION PROGRAM <br /> BILLING LETTER OF ACKNOWLEDGEMENT: <br /> TO: SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION (PHS-EHD) <br /> 445 N. SAN JOAQUIN ST. <br /> P. O. BOX 2009 <br /> STOCKTON, CA 95201 <br /> _ .-Barnes _ _ <br /> FROM <br /> (property owner name) <br /> 1215 Camino Ramon <br /> (owner mailing address) <br /> San Jose, California 95125 <br /> (city, state, ZIP) <br /> RE: 29900 S. MacArthur Drive <br /> (site address) <br /> I (we) declare that the assessment activity being performed at the <br /> above referenced site is being conducted with my(our) knowledge and <br /> approval. Furthermore, 1 (we) acknowledge that payment of PHS Eli]) <br /> char-gas are not paid by tho cllent ---4 -1-- epeLatej- identified en <br /> Program File. " <br /> Executor and Trustee <br /> signature and titley--_ - . _�. - ---- - (phone-number)- <br /> (date) <br /> i <br /> i <br /> LC\BILACKN. FRM *Contact <br /> John Mancuso <br /> Attorney . . . . - <br /> ' 408-293-2626 <br /> i <br /> I <br />