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x'•85-15:12 •CONTE ,o CA005 707-552-7805 <br />ftoAAo of TaUSTafa <br />1i GLOW. at ". <br />Bart Plawatal. Wrw Pat& <br />70mmy Soya®. soey <br />Jan** F. Cuwsruon <br />John D. M84% 140- <br />HUpinla Mathew° <br />Thoma® schuWA OV.M. <br />"Way W►aw PhD. <br />tiacYay VVItGsfis. <br />• <br />SAN JOAQUIN LOCAL HEALTH DISTRICTppb <br />1501 East Hazelton Avenue <br />Stookton, Callfomte 85245 <br />Joel KHANO14 M.D., M•PA, alpalCT HULtN Offfaft <br />ENVIRONMENTAL HEALTH DIVISION <br />i�a09> 469-3420 <br />«�. <br />�uTHCai� Y ZA ®=Qui �' �*C�t,��A� <br />cny of Msntsas <br />cw of Eaton <br />caf of 1'." <br />City of Tiocy <br />oV4 of Ripon <br />8sn Joaquin <br />City of stook" <br />So Joaquln County <br />-W ANALYT I CAI. RRSULTB <br />'P 1 <br />GEOTECHNICAL DATA <br />-rt ENVIRONMENTAL/SITE ASSESSMENT INFORMATION <br />. <br />ftoAAo of TaUSTafa <br />1i GLOW. at ". <br />Bart Plawatal. Wrw Pat& <br />70mmy Soya®. soey <br />Jan** F. Cuwsruon <br />John D. M84% 140- <br />HUpinla Mathew° <br />Thoma® schuWA OV.M. <br />"Way W►aw PhD. <br />tiacYay VVItGsfis. <br />• <br />SAN JOAQUIN LOCAL HEALTH DISTRICTppb <br />1501 East Hazelton Avenue <br />Stookton, Callfomte 85245 <br />Joel KHANO14 M.D., M•PA, alpalCT HULtN Offfaft <br />ENVIRONMENTAL HEALTH DIVISION <br />i�a09> 469-3420 <br />«�. <br />�uTHCai� Y ZA ®=Qui �' �*C�t,��A� <br />cny of Msntsas <br />cw of Eaton <br />caf of 1'." <br />City of Tiocy <br />oV4 of Ripon <br />8sn Joaquin <br />City of stook" <br />So Joaquln County <br />-W ANALYT I CAI. RRSULTB <br />GEOTECHNICAL DATA <br />-rt ENVIRONMENTAL/SITE ASSESSMENT INFORMATION <br />It THE UNDERSIGNED OWNERAND/OR Of'ERATaR OF THE PRt�PERT AHum FACILITY <br />5:!t C i 1. It ,v c �: • ti <br />I-OCATED AT <br />ttrlEFt Aillrli3 i tttrrj <br />HEREBY AUTHORIZE <br />11i1611r01T or t01i1t11Mt) <br />TO RELEASE <br />ANY AND ALL ANALYTICAL RESULT@# QROTECHNICAL DATA <br />AND/OR <br />ENVIRONMENTAL/BITE ASSESSMENT INFORMATION TO THE SAN JOAQUIN <br />LOCAL HEALTH <br />DISTRICT AS SOON AS IT IS AVAILABLE AND AT THE SAME TIME IT <br />I9 PROVIDED' <br />TO ME OR MY REPRESENTATIVE, <br />BUSINESS NAME t CONTEL ASC <br />(if IttlBClltr) <br />Mn a r+v T 1T WIF QAM <br />OWNER/OPERATORi <br />N/W AREA MANAGER <br />ApuREft3 s 6A Lake Herman Road <br />fVW181 A191Elf? <br />Benicia CA 94510 ! <br />rcrrrs (1100 (fit) <br />i <br />PHONE' 707 1 552-7805 <br />11A <br />EH 23 Oji 1 ReV i ti 1 /f99 <br />AdMWWaaae otMiaai envirw�m®ntai Maat� <br />466.3400 444-3m 499-$430 <br />All Pollution commufft a" Laboratory <br />499.3410 499.3320 496.1490 <br />AJOS lniotmstlan 40.3620 <br />