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PUBLIC HEALTH SERVICES <br /> BOARD OF TRUSTEES SAN JOAQUIN COUNTY <br /> P. O. BOX 2009 SERVING <br /> At Crow,Pres. (1601 East Hazelton Avenu )^ San Joaquin count' <br /> Earl Tommy mental. <br /> ViceSec Pres. City of Manteca <br /> TommyJoyce,Secy. Stockton, California 952`@1)) Ciy of Escalon <br /> James F.Culbertson City of Lodi <br /> John D.Meso M.D. JOGI KHANNA, M.D., M.P.H., DISTRICT HEALTH OFFICER City of Tracy <br /> Vlrginia Mathews City of Ripon <br /> Thomas Schubert D.V.M. ENVIRONMENTAL HEALTH DIVISION San Joaquin County <br /> Daphne Shaw (2o,3) 4E8-3420 City of Stockton <br /> Harvey Williams,Ph.D. San Joaquin County <br /> A U T H O R I Z A T I O N T C3 FZ E L-E A S E <br /> -P(- ANALYTICAL RESULTS <br /> -w- GEOTECHNICAL DATA <br /> +F ENVIRONMENTAL/SITE ASSESSMENT INFORMATION <br /> I , THE UNDERSIGNED OWNER AND/OP. OPERATOR OF THE PROPERTY AND/OR FACILITY <br /> LOCATED AT Lincoln Village Center, Stockton. CA <br /> (STREET hMl!l[N (CITY) <br /> HEREBY AUTHORIZE Leeds i - erkenhoff. Inc. <br /> (LABORATORY or CONSUL)ANU <br /> TO RELEASE ANY AND ALL ANALYTICAL RESULTS, GEOTECHNICAL DATA AND/OR <br /> ENVIP,ONMENTAL/SITE 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 REPRESENTATIVE. <br /> BUSINESS NAME: Lincoln Properties, Lt <br /> (IE APPLICABLE) <br /> OWNER,/OPERATOR: Mr. WiL Smith <br /> (PLEASE PRINT) (TITLE) <br /> (SISNAIURE) <br /> ADDRESS:��Lincoln Center <br /> (RAILING ADDRESS) <br /> Stockton, CA 95201 <br /> (CITY) (SIVE) (ZIP) <br /> PHONE: ( 209 ) 478-9200 <br /> DATE: <br /> EH 23 041 Revised 1/89 <br /> Administration Clinical Services Environmental Health Public Health Nursing <br /> 468-3400 468-3830 468-3420 468-3860 <br /> Air Pollution Community Services Laboratory WIC <br /> 468-3470 468-3820 468-3460 468-3200 <br /> AIDS Information 468 3820 <br />