Laserfiche WebLink
Pit <br />dP � JAN 04 '89 13:30 R.H.L. *RAMENTO <br />BOARD OF TRUSTEES <br />James Culber9w, Pies. <br />Mary Anna Uwe, vice Pros, <br />Patricia E. Vannuccl, cavy. <br />Tommy Joyce <br />Earl p1mental <br />Virginia Mathews <br />Daniel L Flores <br />John D. Most, M.D. <br />Gone S. Kraham <br />11 <br />SAN JOAQUIN LOCAL HEALTH DISTRICT <br />16.01 lEast Hazelton Avenue, P.O. Box 2009 <br />Stockton. California 95201 <br />(209) 466.6781 <br />J0911 Khanna. M.D.. M.P.H., District Health Oricer <br />P.2/2 <br />AUTHORIZATION TO RELEASE ANALYTICAL RESULTS, GEOTECHNICAL DATA AND <br />SITE ASSIMSME <br />NT INFORMATION <br />SERVII <br />City of L <br />San Joaquin Cou <br />San Joaquin Cat, <br />City at 64ca <br />City o(Mant. <br />City at Hil <br />City of stock <br />City at Tc <br />San Joaquin Cou <br />is the undersigned owner and/or Operator of the property and/or facility <br />located at r 'LL.'.!:Lt— <br />hereby allthoriz'eA 0!2.;-- <br />to release any and all analytical results,geotechnical dat'a 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 <br />Owner/Op <br />Address <br />Date: <br />W <br />4 <br />&1 2 3 041 3/86 ENVIRONMENTAL HEALTH <br />PERMIT / SERVICES <br />