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i <br /> BOARDt OF TRUSTEES SAN JOAQUIN LOCAL HEALTH DISTAfCT SERVING <br /> At Crow,Pres. San Joaquin County <br /> Earl Pimentel,Vice Pres. 1601 East Hazelton Avenue City of Manteca <br /> Tommy Joyce,sec y. Stockton, California 95205 City of Escalon <br /> James F.Culbertson City of Lodi <br /> John D.Mast,M.D. JOG[ KHANNA, M.D., M.P.H., DISTRICT HEALTH OFFICER City of Tracy <br /> Virginia Mathews City of Ripon <br /> Thomas Schubert,D.V.M. ENVIRONMENTAL HEALTH DIVISION San Joaquin County <br /> Daphne Shaw (209) 468-3420 City of Stockton <br /> Harvey Williams,Ph.D. San Joaquin County <br /> ALITHOFR I ZAT I ON TO FZ1=LEASE <br /> -*- ANALYTICAL RESULTS <br /> -0-t- GEOTECHNICAL DATA <br /> +� ENVIRONMENTAL/SITE ASSESSMENT INFORMATION <br /> I , THE UNDERSIGNED OWNER AND/OR OPERATOR OF THE PROPERTY AND/OR FACTI_TTY <br /> LOCATED AT 2040 W. Washington St. , Stockton, CA <br /> (STREET ADDRESS) (CITY) <br /> HEREBY AUTHORIZE KENNEDY/JENKS/CHILTON <br /> (LABORATORY or CONSULTANT) <br /> TO RELEASE ANY AND ALL ANALYTICAL RESULTS, GEOTECHNIr_AL DATA AND/OP. <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: Cal-Farm Supply Co. , Bankruptcy Case No. 287-04176-A-7 (E.D. Cal.) <br /> (IF APPLICABLE) <br /> OWNER/OPERATOR: Charles R. Whitworth, as trustee-in-bankruptcy for Cal-Farm Supply Co <br /> (PLEASE PRINT) ) <br /> - Cy <br /> (SIGNAIURE) <br /> ADDRESS: P.O. Box 180, W. Sacramento, California 95691 <br /> (NA/LING ADDRESS) <br /> (CITY) (STATE) (ZIP) <br /> PHONE: ( 916 ) 372-5312 <br /> DATE: March 10, 1989 <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 />