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`s... - i ��-..V.'jti_+4:^ .� KY nS. w. ' 'Y.•+Yti:_-• ++r.h':...a V;± t �..G W .w..(.��.�yY�.. ', <br /> DOARD of: TRUSTEES' SAN JOAOUEN LOCAL HEALTH DISTRICT SERVING <br /> Son CRYofJoaquin <br /> County <br /> ��ww�vks P� 1601 East Hazelton Avenue �a W <br /> Tonvnr Jolrt:a.SaCy. <br /> Stockton,Califon is 95205 Gy of Eseaton <br /> James F.Cullertm Ci91i/W Lodi <br /> ' John 0.Mast M.D. JOGI'KHANNA, M.0, ".11, DISTRICT HEALTH oF>F10ER Ciy 01 Traep <br /> Cay o< <br /> �T west Schubert O.VJA ENVIRONMENTAL HEALTH DIVISION San Joaquin <br /> paphns Shaw - (209) 4City of Sloctaon 68-3420 -' San Joaquin Cara+ j Hanel►WiiMama•PhJX y <br /> AUT H O R I Z A'T I O N T O R E L EA S E <br /> +re- ANALYTICAL RESULTS <br /> ' rad- GEOTECHN I CAL DATA <br /> ' -9+- ENVIRONMENTAL/SITE ASSESSMENT INFORMATION <br /> I, THE UNDERSIGNED OWNER AND/OR OPERATOR OF THE PROPERTY AND/Op FACILITY <br /> LOCATED AT 3310 E. Miner, - Stockton <br /> (STREET APPRESS) (tl1T! <br /> HEREBY AUTHORIZE OM Re ed <br /> (UtORATORY or CONSatrAND <br /> TO RELEASE ANY AND ALL ANALYTICAL RESULTS, ' GEOTECHNICAL DATA AND/OR <br /> ENVIRONMENTAL/SITE ASSESSMENT INF'OF,MATION. 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 REPRESENTATIVE. <br /> 1 ' <br /> BUSINE=SS NAME: Kent's Oil Service - <br /> ' (JF AfPE(CA8LE1 , <br /> OWNER/OPERATOR: Sheldon Oil Companyf <br /> (?[fPRIITJ MILE) <br /> it <br /> cxA � <br /> ADDRESS: 426 Main—Street � <br /> (IAl[1xG ADDRESS) r <br /> ' Suisun CAlifornia 94585 <br /> (Cl1r) (SIAIE) (lit) <br /> ' PHONE: ( 707 ) 425-2951 <br /> DATE: . <br /> EH ::0 041 Revised 1/89 . <br /> Administration Clinical Servicos EnvlronmenW Itsa'th Pubft Haalth Nursln4 <br /> 468-3400 468-3630 4FB-3420 465-3860 <br /> ' Air Pollulion Community Services Laboratory "C <br /> 460.3470 468-3820 408.34CO 418.3200 245 <br />