Laserfiche WebLink
a"NO Of TRUSTEES `-5AN JOAQUIN LOCAL HEALTH DInRICT - - - - --- <br /> J-� cviby ao„ P'w SERVING <br /> Mel Anne LM,Vic*►r« 1601 East Hax0on Avenue, P.O. Box 2009 Car a Lodi <br /> Peukla E.vennutd, 6. 'T. See JoWuM County <br /> Ta.nn,r J°rc• Stockton, Calllornla 95201 tun Joeau4n Counlr <br /> EM PIM"W CNr el Eetelon <br /> virga Meth*. (209) 466-6781 Car a M.nl.c. <br /> 061"L flww CNr M Rlpon <br /> G«M0.ie Mask M.D. M� ld Joel aM.D.M.►.H,OMaHeats Ocher C"W S'"kw <br /> 6. M <br /> Wrlaw4F. <br /> APR 01 1988 <br /> ENVIROMENTAL HEALTH <br /> PERMIT/SERVICES, <br /> AUTHORIZATION TO RELEASE ANALYTICAL RESULTS, GEOTECHNICAL DATA AND <br /> SITE ASSESSMENT INFORMATION <br /> 1 . the undersigned owner and/or operator of the property and/or facility <br /> located at 623 Fresno Avenue Stockton, CA <br /> hereby authorize S�� Cpm <br /> to release any and all analytical results, geotechnical data and sits <br /> assessment information to the San Joaquin Local health District as soon <br /> as it is available and at the same time it is provided to me or my <br /> representative . <br /> Owner/Operator : ��� ^ <br /> Title : Owner <br /> Addlu;;s 1598 E Julian St --Phone : 462-1724 <br /> StDckton CA 95206 <br /> Uatc : 9131/88 <br /> EH 08 05 UGT 13 <br />