Laserfiche WebLink
BOARD Or TRUSTErs <br />SAN JOAQW11 LOCAL HEALTH DISTRICT <br />468-3400 <br />At Crow, Pres. <br />Air Pollution <br />SERVING <br />Earl Pimental, Vice Pras. <br />1601 East Haze!ton Avenue <br />San Joaquin County <br />Joyce, Sec %. <br />SIOcMon, Call(Ornia 95205 <br />City of Manteca <br />James F. Cull'r <br />City of Escalon <br />John D. Mash, M.D. <br />M.D. <br />JOGI KHANNA, M.D., M.P.H., DISTRICT HEALTH OFFICER <br />City of Lodi <br />City of Tracy <br />Virginia Mathews <br />Thomas Schubert D.V.M. <br />ENVIRONMENTAL HEALTH DIVISION <br />City of Ripon <br />San Joaquin County <br />Daphne Shaw <br />Harvey Williams, Ph.D. <br />f. I'31 4G8-3410 <br />City of Stockton <br />San Joaquin County <br />A U -rHCDF2I 2:^—r 10 1-,1 TCD %ELEASE <br />'#' ANALYTICAL RESULTS <br />-34- GEOTECHNICAL DATA <br />ENVIRONMENTAL/SITE ASSESSMENT INFORMATION <br />I, THE UNDERSIGNED OWNER AND/OR', OPERATOR OF THE PROPERTY AND/OR FACILITY <br />LOCATED AT 2441 West Charter Way Stockton <br />(STREET ABORESS) (CITY) <br />HEREBY AUTHORIZE Canonie Environmental <br />(1460RHORY ar COHSBLTAHT) <br />TO RELEASE ANY AND ALL ANALYTICAL RESLILTs, GEOTEC:HNIr_.AL DATA AND/OR <br />ENVIF,ONMENTAI_/SITE ASSESSMENT INFORMATION TO THE SAN JOAQUIN LOCAL HEALTH <br />DISTRICT AS SOON AS IT IS AVAILAILE AND AT THE SAME TIME IT IS PROVIDED <br />TO PIE OR MY REPRESENTATIVE. <br />•4 <br />BUSINESS NAME: Brooks Products <br />^_ (IF APPLICABLE) — – -- <br />OWNER/OPERATOR: V r ✓ / �/ <br />(PLE fJ (TITLE) <br />ADDRESS: 244 West _rter Way_ __ <br />CUILL9G AOORESS <br />Stockton, Ca 95206 <br />0:41f°) — (5id)E) UV) --- <br />PHONE: (209 )464-7696 <br />DATE: 08-23-90 <br />EH 23 041 Revised 1/8.3 <br />Administration Environmental I1eaL'h <br />460-3.120 <br />Laboratory <br />460-3460 <br />Clinical SorAcos <br />468-3400 <br />48.3030 <br />Air Pollution <br />Community Sorvlces <br />468-3470 <br />468.3820 <br />Public Health Nursing <br />468-3860 <br />WIC <br />468-3280 <br />