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r <br /> • <br /> RUSTEES SAN JOAQUIN LOCAL HEALTH DISTCT - SERVING <br /> San Joaquin County <br /> ice Pres. 1601 East Hazelton Avenue City of Manteca <br /> sec'y. Stockton,California 95205 City of Ci Eof nodi <br /> ertson City <br /> John D.Mast M.D. JOG] KHANNA, M.D., M.P.II., 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 (2o9) 466-3420 City of Stockton <br /> Hervey Williams,Ph.D. Sen Joaquin County <br /> ALJTHOFc I ZAT I ON TO RELEASE <br /> 44- ANALYTICAL RESULTS <br /> ff GEOTECHNICAL DATA <br /> ENVIRONMENTAL/SITE ASSESSMENT INFORMATION <br /> I , THE UNDERSIGNED OWNER, AND/OP. OPERATOR. OF THE PROPERTY AND/OR FACILITY_ <br /> LOCATED AT 102 South Wilson Way Stockton, California <br /> (SIREET ADDRESS) (CITY) <br /> HEREBY AUTHORIZE Superior Analytical Labor•atury. Inc <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: Roek Brothers <br /> (1F APPLICABLE) <br /> Jay Roek <br /> OWNER/OPERATOR: ,�y <br /> Rt P No (TITLE) <br /> S16 AIURE) <br /> ADDRESS: 102 South Wilson Way <br /> (BAILING ADDRESS) <br /> Stockton, CA 95213 <br /> (CITY) (STATE) (ZIP) <br /> PHONE: ( 209 ) 464-8344 <br /> DATE: Jul y 11 , 1990 <br /> EH 23 041 Revised 1/89 <br /> Administration Clinical Services Environmental Health Public Hoallh Nursing <br /> 468-3400 468-3830 468-3420 469-7880 <br /> Air Pollution Community Services Laboratory WIC <br /> 468.3470 468-3820 468-3460 468-3200 <br /> AIDS Information 468-3820 <br />