Laserfiche WebLink
I0aR0 Of IRUSIEES <br /> 4mn Cul4an>on, Praf. <br /> SAN JOAOUIN LOCAL HEALTH DISTRICT <br /> �,onSERVING <br /> >airlcla E. Vannvccl, S.c'y. C <br /> anlhonatta van SP• ,.n 1601 East Hatelton Avenue, P. O. Bolt 2009 San JoaIt <br /> r of LOW <br /> Earl P/mantaf olCounty <br /> Stockton,Callfornia 95201 c11Y of Eacaton <br /> Fern Bupoaa. CIIY of Manteca <br /> Danlol L. Flores 209/466-6781 CRY of Ripon <br /> John O. Ma,L M.O. - CItY of Stockton <br /> William J. Wad. Jopl Khanna, M.O., M.P.H., OIa1rIc1 Health Ofllcar Gly of Tracy <br /> Mary Anna Low San Joaquin County <br /> San Joaquin county <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 <br /> hereby authorize <br /> to release any and all analytical results. geotechnical data and site <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 /> Ownef/Operator: Title: <br /> Address 1 //7 �/ Lj.d GL'-4'4 a Phone: <br /> Date: Z _� <br /> 111 08 OS UGT 13 <br />