Laserfiche WebLink
12/29/89 10: 13 NESCO - ALRIEDA NO 002 <br /> PUBLIC HEALTH SERVICES w HIN <br /> SAN JOAQUIN COUN1Y <br /> JOGI KHANNA RD,M-PA, <br /> Hc41th Officer <br /> P.O.Box 2009 . (1601 East Houlton Avenue) . Stockton,Culifurnia 95201 a� <br /> (209)468.3400 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> (209) 468--3420 <br /> AU"1"HG R I z AT I C3N TO RML_EAmm <br /> * ANALYTICAL RESULTS <br /> * GEOTECHNICAL DATA <br /> ENVIRONMENTAL/SITE ASSESSMENT INFORMATION <br /> I, THE UNDERSIGNED OWNER AND/OR OPERATOR OF THE PROPERTY AND/01:2 FACILI�Y <br /> LOCATED AT 2894 West MnntP- D i mbl o'8=UP Stocktnn <br /> (STREET ADDRESS) (CITY) <br /> HEREBY AUTHORIZE Kleinfelders <br /> (LABORATORY or CONSULTANT) <br /> TO RELEASE ANY AND ALL ANALYTICAL RESULTS GEOTECHNICAL DATA AND/OR <br /> ENVIRONMENTAL/SITE ASSESSMENT INFORMATION TO SAN JOAQUIN COUNTY PUBLIC <br /> HEALTH SERVICES AS SOON AS IT IS AVAILABLE AND AT THE SAME TIME IT IS <br /> PROVIDED TO ME OR MY REPRESENTATIVE. <br /> BUSINESS NAME t BP pipelines _(IF APPL I CABLE) <br /> OWNER/OPERATORt Northwestern Equipment & supply 29M2a , David Garner Manager <br /> (PLEASE PRI T) (TITLE) <br /> (SIGNATURE) <br /> ADDRES3s 635 Gilman Street <br /> (MAILING ADDRESS) <br /> Berkeley CA 94710 <br /> (CI TY) (BrATr) (IIP) <br /> PHONE t —(L15 527-4080 Ob so so Elm <br /> DATE t SEC 2 $ 1989 <br /> EH 23 041 Revised 10/09ENVIRONMTALLTH <br /> A Division of SAn Joaquin County H.i,th C3«Servicf-c PERMIT/SERVICES <br />