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BOARD OF TRUSTEs ON JOAOUIN LOCAL HEALTH *RICT '� ' 3ERVHiO <br /> Al Crow.Pros 1601 <br /> courMp <br /> Earl Pinrsn+K via Pres. 1601 East Hazelton Avenue �/�� <br /> Ta,N„yy Stockton, California 95205 A N 8 <br /> Jamas F.Culbertson c�Q `Y��/��, 11989 of I" <br /> John D.Mast.M.D. JOGI KHANNA. M.D., M.P.H., DISTRICT HEALTH OFFICER Tj., , ply at Tracy <br /> Vkpinia Mathews 64,'q C A/�` Clty of Ripon <br /> Thomas Schubert D.V.M. ENVIRONMENTAL HEALTH DIVISION �'1� , i uin County <br /> Daphne Shaw (209) 468-3420 fiJ' y of Stockton <br /> Harvey Williams.PhD. San Joaquin County <br /> AU-rHC3FZ I ZAT I ON TO RELEASE <br /> - ANALYTICAL RESULTS <br /> GEOTECHNICAL DATA <br /> - ENVIRONMENTAL/SITE ASSESSMENT INFORMATION <br /> Ir THE UNDERSIGNED OWNER AND/OR OPERATOR, OF THE PROPERTY AND/OR FACILITY <br /> LOCATED AT 15 miles east of Livermore on Route 1 Tracy <br /> (SIREEI APPRESS) (City) <br /> HEREBY AUTHORIZE Clayton Environmental Consultants, Inc. <br /> (LAURA1DRy or CONSOLTAN1) <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 /> This authorization applies only for data pertaining to <br /> TO ME OR MY REPRESENTATIVE. LLNL Tank 801-R2U1 (801-31R) . <br /> BUSINESS NAME: Lawrence Livermore National Laboratory <br /> (IF APPLICABLE) <br /> OWNER/OPERATOR: <br /> U.S. Gov't./University of CA Richard Ragaini, Dept. Head <br /> (PLEASE PRINT) (111LE) <br /> (SI61AIDRE) <br /> ADDRESS: 7000 East Ave. , P.O. Box 808 <br /> (RAILI16 ADDRESS) <br /> Livermore CA 94550 <br /> (Cllr) (SIA1E) (10) <br /> PHONE: ( 415 ) 423-8875 <br /> DATE: <br /> EH 23 041 Revised 1/89 <br /> Administration Clinical Services Environmental Health Public Health Nursing <br /> 468-3400 468-3830 468-3420 468-3860 <br /> Air Pollution Community Services Laboratory WIC <br /> 468-3470 468-3820 468-3460 468-3280 <br /> AIDS Information 468-3820 <br />