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BOARD OF TRUSTEES ',AN JOAQUIN LOCAL HEALTH F )TRICT <br /> l <br /> At Crow,Pres. `� SERVING <br /> / Earl Pimentel,Vice Pres. � 1601 East Hazelton Avenue San Joaquin County <br /> Tommy Joyce,Secy. Stockton,California 95205 City of Manteca <br /> James F.Culbertson Cly of Escalon <br /> John D.Mast,M.D, JOGI KHANNA, M.D., M.P.H., DISTRICT HEALTH OFFICER City of Lodi <br /> Virginia Mathews City of Tracy <br /> Thomas Schubert,D.V.M. ENVIRONMENTAL HEALTH DIVISION City of Ripon <br /> Daphne Shaw San Joaquin County <br /> Harvey Williams,Ph.D. (20'9) 4E8-3420 City of Stockton <br /> AUT!--iOR I ZAT I ON TO RELEASE San Joaquin County <br /> -�- ANALYTICAL RESULTS <br /> -�- GEOTECHNICAL DATA <br /> -+t- ENVIRONMENTAL/SITE ASSESSMENT INFORMATION <br /> Ir THE UNDERSIGNED OWNER AND/OP, OPERATOR OF THE PROPERTY AND/OR FACILITY <br /> LOCATED AT Hi ghw ,26 . Li nden <br /> (STREET ADDRESS) (Cllr) <br /> HEREBY AUTHORIZE WaterWork Cor oration <br /> (LABORAIORr or CONSULTANT) <br /> TO RELEASE ANY AND ALL ANALYTICAL RESULTS, GEOTECHNICAL DATA AND/OR <br /> ENVIRONMENTAL/SITE A,;SESSMENT INFORMATION TO THE SAN JOAQUIN LOCAL HEALTH <br /> DISTRICT A5 SOON AS IT IS AVAILABLE AND AT THE SAME TIME IT IS PROVIDED <br /> TO ME OR MY REPRESENTATIVE. <br /> BUSINESS NAME: Linden Unified School District <br /> (IF APPLICABLE) / <br /> OWNED,/OPERATOR: <br /> (Pt E PRINT) (IIILE) <br /> (SIGMA, RE) <br /> ADDRESS: 18527 East Main <br /> (RAILING ADDRESS) <br /> Linden CA 95236 <br /> lClfr) (STATE) (tit) <br /> PHONE: ( 209 946-0707 <br /> DATE: October 25, 1989 <br /> EH 1O 041 RL+vl sed 1/89 <br /> Administratibn Clinical Services EnvlronmenW Healtf► <br /> Public Health-38 Nursing <br /> 468-3400 468-3830 <br /> 168-3120 168-3860 <br /> Air Pollution Community Services Laboratory <br /> 468-3470 468-35" 468.3460WIC <br /> A68.3280 <br /> AIDS Infor---inn 46M;IAr m <br />