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BOARD OF TRUSTEE8 <br />At Crow, Pros, <br />Earl Pimental, Vice Pres. <br />Tommy Joyce, Secy. <br />James F. Culbertson <br />John O. Mast, M.D. <br />Virginia Mathews <br />Thomas Schubert D.V.M. <br />Daphne Shaw <br />Harvey Williams, Ph.D. <br />SAN JOAQUIN LOCAL HEALTH DISTRICT <br />1601 East Hazelton Avenue <br />Stockton, California 95205 <br />JOGI KHANNA, M.D., M.P.H., DISTRICT HEALTH OFFICER <br />ENVIRONMENTAL HEALTH DIVISION <br />(209) 468-3420 <br />AUTHOR= ZA"T I ON TO 1REL-EAaa <br />-1+- ANALYTICAL RESULTS <br />-114- GEOTECHNICAL DATA <br />-W ENVIRONMF_NTAL/SITE ASSESSMENT INFORMATION <br />SERVING <br />San Joaquin County <br />City of Manteca <br />City of Escalon <br />City of Lodi <br />City of Tracy <br />City of Ripon <br />San Joaquin County <br />City of Stockton <br />San Joaquin County <br />Ir THE UNDERSIGNED OWNER AND/OR OPERATOR OF THE PROPERTY AND/OR FACILITY <br />LOCATED AT 983 MOFFAT BLVD. <br />(STREET ADDRESS) (CITY) <br />HEREBY AUTHORIZE CALIFORNIA WATER LABS <br />(LABORATORY or CONSULTANT! <br />TO RELEASE ANY AND ALL ANALYTICAL RESULTS, GEOTECHNICAL DATA AND/OR <br />ENVIRONMENTAL/SITE ASSESSMENT INFORMATION TO THE SAN JOAQUIN LOCAL HEALTH <br />DISTRICT AS SOON AS IT IS AVAILABLE AND AT THE SAME TIME IT IS PROVIDED <br />TO ME OR MY REPRESENTATIVE. <br />BUSINESS NAME: MEL BOKIDES PETROLEUM, INC. CARD= NUMBER 2 <br />(If APPLICABLE) <br />OWNER/OPERATOR: MEL BOKIDES PETROLEUM, INC. <br />(PLEASE PRI ) (TITLE) <br />n <br />ADDRESS: 2191 NAVY DRIVE <br />(RAILI16 ADDRESS) <br />STOCKION, CA. 95206 <br />(CITY) (STATE) (IIP) <br />PHONE: ( 209 ) 943-2011 <br />/ <br />DATE: <br />mn .:.2 V%1 KIRV1 SeO 1/U5 <br />Administration Clinical Services Environmental Health <br />468.3400 468-3830 469-3420 <br />Air Pollution Community Services Laboratory <br />468.3470 466-3820 468-3460 <br />AIDS Information 468-3820 <br />Public Health Nursing <br />468-3860 <br />WIC <br />468.3280 <br />