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6 i <br /> BOARD OF TRUSTEES SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> At Crow,Pres. SERVING <br /> Earl Pimentol,Vice Pres, 1601 East Hazelton Avenue San Joaquin County <br /> Tommy Joyce,Sec'y. Stockton, California 95205 City of Manteca <br /> James F.Culbertson City 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. (209) 468-34L0 City of Stockton <br /> San Joaquin County <br /> AUTHORIZATION T O R E L E A S E <br /> ANALYTICAL RESULTS <br /> GEOTECHNICAL DATA <br /> -W ENVIRONMENTAL/SITE ASSESSMENT INFORMATION <br /> I , THE UNDERSIGNED OWNER AND/OR, OPERATOR OF THE PROPERTY AND/OF,' FACILITY <br /> LOCATED AT Former Unocal SIS #5098 5606 Pacific Ave Stockton CA <br /> (SIREEI ADDRESS) (C1IY) <br /> HEREBY AUTHORIZE_ Kaprealian Engineeriia, Inc. <br /> (1480RAIORY or CONSULIAND <br /> TO RELEASE ANY AND ALL ANALYTII_AL RESULTS, GEOTEC:HNIr_AL DATA AND/OR <br /> ENVIRONMENTAL/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 R..EPRESENTATIVE. <br /> BUSINESS NAME: Unocal Corporation <br /> (IF APPLIC98LE) <br /> OWNER,/OPERATOR.: Ron Bock Environmental Engineer <br /> (PLEASE PRINT) (I/ffE) <br /> /G� <br /> (SIGNAIURE) <br /> ADDRESS: P.O. Box 5155 <br /> (NAILIN6 ADDRESS) <br /> San Ramon CA 94583 <br /> (CLIP) (SIA1E) (ZIP) <br /> PHONE: ( 510 ) 277-2303 <br /> DATE: L/2 /`/ Z <br /> EH 23 041 Revised 1/fl9 <br /> Administration Clinical Services Environmental Health <br /> 4Public Health Nursing <br /> 68-3400 468-3830 <br /> 468-3420 468-3660 <br /> Air Pollution CommunityServices Laboratory <br /> 468-3470 468-3820 WIC <br /> 468-3460 468.3280 <br /> AIDS Information 468-3820 <br />