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a - <br />®mitt? GIF 'MUSTEEs <br />AJ Ctow, Pids. ' <br />!;.orf 01mental, Vico Pray, <br />Tommy Jcgce. Wy. <br />James F. Culbetttson <br />John A. Moot, IA'a <br />Virginia Mathewo <br />'Phomas Srttubeft D.V.M. <br />Daphne Shaw <br />Harvey William k MD. <br />0 <br />h J1 <br />OAQUIN LOCAL Hti AL 1 H iJ t i SiCT <br />4601 mast Hazelton Avenue <br />Stockton, California 95205 <br />JOGI KHANNA, M.D., M F.H., DISTRICT HEALTH OFFiCf;R <br />ENVIRONMENTAL HEALTH DIVISION <br />C2033 468-342:0 <br />lftl- ANALYTICAL. RESULTS <br />4* GEOTECHNICAL DATA <br />-114- ENVIRONMENTAL,/SITE ASSESSMENT INFORMATION <br />F.?.ic <br />SEAYING <br />San Joaquin County <br />City of Muuoca <br />City of Escalon <br />City of Lodi <br />City of teacy <br />City of Ripon <br />Son Joaouln County <br />City of Stockton <br />San Joaquin County <br />T r THE; UNDERSIGNED OWNER AND/OR OPERATOR OF THE PROPERTY AND/OR rACILITY <br />LOCATED AT 124 West Elm Street, Lodi. Calizornia <br />(STREET 41PRESS) (CITY) <br />HEREBY AUTHORIZE American Environmerxal Management Cor�+.oration <br />(LAIiORATORr or CONSIITABI) <br />TO RELEASE ANY AND ALL ANALYTICAL RESULTS, GEOTECHNICAL DATA AND/OR <br />ENVIRONMENTAL/SITE ASSESSMENT INFORMATrON TO THE SAN JOAQUIN 40CAL HEALTH <br />DISTRICT AS SOON AS IT IS AVA I LA13LE AND AT THE SAME TIME IT IS PROVIDED <br />TO ME OR MY REPRESENTATIVE. <br />BUSINESS; NAME: Pacific Bell <br />. t'tf ArtticA$cE) <br />OWNER/OPERATOR: Stevan Wat Design and Construction Division <br />(PLEB, kill (TITLE) <br />iST61fATtlRE) <br />ADDRESS: P.O. Box :5038, 3707 Kings way, Room A5 <br />(AhILI16 ADDRESS) <br />Sacramento, California 95851 <br />(CITY) (STATE) (IIP) <br />PHONE: (916,.,.2-972-2417 <br />DATE: <br />EH 23 041 Revised 1/89 <br />AdministraVon Cifnical 5arvicos f nvironmanW Health <br />46f1-34020 458.3 330 468-3420 <br />Air F'oltutton Community servic** Laboratory <br />46Ac.3470 483-3820 468-3460 <br />AIQ$ t,nformation 4$8.3820 <br />Public Hoallh Nursing <br />468.3860 <br />Wlr, <br />468.3280 <br />