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BOARD OF TRUSTEES SAPJOAQUIN LOCAL HEALTH DIS CEI V EDSERVING <br /> At Crow,Pres. Joaquin County <br /> Earl Pimentel,vice Pres. 1601 East Hazelton Avenue <br /> City of Manteca <br /> Tommy Joyce,Sec'y. Stockton, California 95205 AUG 17 1990 City of Escalon <br /> James F.Culbertson City of Lodi <br /> John D.Mast,M.D. JOGI KHANNA, M.D., M.P.H., DISTRICT HEALTHII MURNMENTAL HEALTH Cityof Tracy <br /> VirginiaM'mew' PpERMIT/SERVICES City of Ripon <br /> Thomas Schubert D.V.M. ENVIRONMENTAL HEALTH DIVISION <br /> Son Joaquin County <br /> Daphne Shaw (2o'3) 468-34::0 City of Stockton <br /> Harvey Williams,PhD. Sen Joaquin County <br /> AUTHOR I Z A T I M" T O R E L E A S E <br /> -14- ANALYTICAL RESULTS <br /> -w GEOTECHNICAL DATA <br /> �+ ENVIRONMENTAL/SITE ASSESSMENT INFORMATION <br /> I, THE UNDERSIGNED OWNER AND/OR OPERATOR OF THE PROPERTY AND/OP, F/ CILITY <br /> LOCATED AT; .DL4 ,49bfaJ. SharpeSde , Oxida�tonPor)rds �4tllop <br /> (SiffEI ADDRESS) (City) <br /> HEREBY AUTHORIZE;_The Markt/twO,_L2s'neusa� Jesisf�nc., <br /> (tABORAIORY or CONSOLIAMT) <br /> TO RELEASE ANY AND ALL ANALYTICAL RESULTS, GEOTECHNICAL DATA AND/ R <br /> ENVIRONMENTAL/SITE ASSESSMENT INFORMATION TO THE SAN JOACIUIN LOCAL HEALTH <br /> DISTRICT AS SOON AS IT IS AVAILABLE AND AT THE SAME TIME IT IS PROVIDED <br /> TO ME OR MY REPRESSnENTATIVE. <br /> BUSINESS NAME:,De4c/151ic-r Azienoy 'betense Dcs><r4UAA e e Ian Oesf, Sharpe `t/a <br /> (If Al"I'LICABLEYT— <br /> OWNER/OPERATOR: -JOhn.T GUan1&n ErnUlronmen7 1 (!�ncInePr <br /> (PLEASE PRINT) (TITLE) <br /> (S16R URE) <br /> ADDRESS: 7>e�pnSeLo�ts�as �laenCy , Z >l_cnseDis�ir �rar,�ec�o%�GUes�. S�GrpeSi�C <br /> (AAUT116 ADDRESS) V / <br /> DbeW–DE, gnu ronme� �rofecl+un Q ce <br /> Lath/a/) G' 9c331 - <br /> (CITY) (STATE) (IIP) <br /> PHONE: 009 1 Qgl- 06`3 <br /> DATE: /G 19urlai 1%6 <br /> EH 23 041 Revised 1/85 <br /> Administration Clinical Somicos Environmental Heafth Public Health Nursing <br /> 468.3400 468-3830 468-3420 468-3860 <br /> Air Pollution Community Services Laboratory WIC <br /> 46e-3470 468-3820 468-3460 468-3280 <br /> AIDS Information 468-3820 <br />