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WARD of TRUSTEES SAN JOAOUIN LOCAL HEALTH DISTRICT SERVING <br /> "Cwm Prim Sari Joaquin County <br /> Plnrentel vise Prez 1601 East Hazelton Avenue City or Manteca <br /> Tv"yJ"ce.sec'Y Stockton, California 95205 City of Escaion <br /> Jam"F Culbertson <br /> John D Mask M 0Cay of Lod, <br /> Vlrpinia Mathe+rs <br /> JOGI KHANNA, lot D, M.P It, DISTRICT HEALTH OFFICER City of Tracy <br /> Th°rnu Schubert D y hit, ENVIRONMENTAL HEALTH DIVISIONCry of Ripon <br /> Daphne Shaw (2p'3} 468-3-�2t) San Joaquin County <br /> wrPhDwy W"Ilarnk pCry of Stockton <br /> San Joaquin Cony <br /> AUTHORIZATION TO RELEASE <br /> ANALYTICAL RESULTS <br /> GEOTECHNICAL DATA <br /> -111*- ENVIRONMENTAL/SITE ASSESSMENT INFORMATION <br /> It THE UNDERSIGNED OWNER ANA/OR OPERATOR Or THE PROPERTY AND/OR FACILITY <br /> LOCATED AT West Main Street Stockton, CA <br /> (SIREfr OPPRESS) rttlrs <br /> HEREBY AUTHORIZE <br /> �c�f�aRAraRr ar taxsx[rxxrr <br /> TO RELEASE ANY AND ALL ANALYTICAL RESULTS, GEOTECHNICAL DATA AND/OR <br /> 4(NVIRONMENTAL/SITE ASSESSMENT INFORMATION TO THE SAN JOAQUIN LOCAL HEALTH <br /> ISTRICT AS SOON AS IT IS AVAILABLE AND AT THE SAME TIME IT IS PPOVIDED <br /> TO ME OR MY REPRESENTATIVE, <br /> BUSINESS NAME: East Bay Municipal Utility District <br /> lH IPAL UAJllf1 <br /> OWNER/OPERATOR: <br /> ft EASE /A18l1 l!l1Lf1 • <br /> SIiXArIfAFJ <br /> ADDRESS: I�Olwest Main Street Stockton, CA <br /> (SAIL 116 IID1fSS) <br /> stlir) Ulilt) (tlr) <br /> PHONE: 209 463-2463 <br /> ATE: August 15, 1989 <br /> EH 23 041 Revised 1/l3'3 <br /> /dmfnistrrtdon Clinical Servrcos <br /> 4U-3400Envlronmentil Waa'th Public Hoafth Nursing <br /> ,66-0630 468.3420 469 3960 <br /> Air Poffution Community ServIcas laboratory WICK <br /> 860.3470 468 3820 466 !14rn <br />