Laserfiche WebLink
FROM n,01r12/88 oe, 28 P . 2 <br /> BOARD OF TRUSTEES 1 <br /> James culbwt,)�R,P" . SAN JOAQUIN LOCAL HEALTH QISTRICT ' N <br /> SERVING <br /> Mary Anne tore, c4. Pres. 1601 East Hazelton Avenue, CKy o1 Lod! <br /> PatriciaPatrE.V#trnuc4�,I3eC'y, p,0. Box 2009 San Joaquin Ccwnty <br /> Earl <br /> Joyce Stockton, California 85201 San Joaquin County <br /> EaA Plmanlet City�t'.acabn <br /> VIrQlnia M#thews (20�) 4fi8•BT$1 E ` Clty at Manteca <br /> flonl.t L Flores" f� Clty of Rlp�i <br /> John D.M#N,M.D. 11 <br /> DaM S.Kr#ham JO9t Khanna.M.D.,M.t+.lt�Dhtr{ci.iteatth y d Stocktorj i <br /> TT) Gty of Tracy_ . <br /> J A N 19 1988 San Joaquin county <br /> ENVIROMENTAL HEALTH <br /> FERMIT/SERVICES <br /> AUTHORIZATION TO RELEASE ANALYTICAL, RESULTS, GEOTECHNICAL DATA AND <br /> SITE ASSESSMENT INFORMATION ' <br /> I , the undersigned owner and/or operator of the <br /> property anti/or facility ' <br /> located at ; <br /> hereby authorize <br /> to release any and all analytical resents , geotechnical data and site: <br /> assessment information to the San Joaquin Local Health District as soon <br /> as it is available and at the same time it is provided to me or my <br /> representative, h <br /> vTron�ewr�/ <br /> Owner/Operator : Title: <br /> Address hJr2! pt,one: OZ <br /> EH 08 05 UGT 13 <br />