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W <br />D OF <br />TRUSTEES SAN JOAQUIN LOCAL HEALTH DISTRICT SERVING <br />/2drllPlm*nlol, <br />ow, Pres. San Joaquin County <br />ow.PrVice Pres. 1601 East Hazelton Avenue City of Manteca <br />Stockton, California 95205 Clry of of olon <br />Lodi <br />Tommy Joyce. set:'y. City of Lodi <br />James F. CulbertsonCI of Trac <br />John 0. Most M.D. JOGI KHANNA, M.D., M.P.H., DISTRICT HEALTH OFFICER City of Ripon <br />Virginia MathewsENVIRONMENTAL HEALTH DIVISION Sen Joaquin County <br />Thomas Schubert, D.V.M. City of Stockton <br />Daphne Shaw ( 209) 468-3420 San Joaquin County <br />Harvey Williams, Ph D. <br />1--I1173FZ I ZAT I ON TO RELEASE <br />-94- ANALYTICAL RESULTS <br />44- GEOTECHNICAL DATA <br />4+ ENVIRONMENTAL/SITE ASSESSMENT INFORMATION <br />I, THE UNDERSIGNED OWNER. AND/OR OPERATOR, OF.THE PROPERTY AND/OR FACILITY <br />LOCATED AT 1725 Snnsuinetti Ln. Stockton, Ca. <br />HEREBY AUTHORIZ <br />(SIREEI ADDRESS) (CITY) <br />Calif. Water Lab., Carpenter Rd.,Modesto,Ca. <br />(1480RAIOAY or CONSDLIAND <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 NAMEt <br />OWNER/OPERATOR: <br />ADDRESS: <br />CHANNEL, MECHANICAL <br />TIF An111.ANfE) <br />1725 Sanguinetti Ln. <br />(RAILING ADDRESS) <br />Stockton, CA, 95205 <br />(CITY) (SIATE) (i IN <br />PHONE) ( 209 ) 4(1 991 I <br />DATESfh4- <br />EH 23 041 <br />Revised <br />1/89 <br />Administration Clinical Services Environmental Health <br />468-3400 468-3830 468-3420 <br />Air Pollution Community Services Laboratory <br />468.3470 468-3820 468-3460 <br />AIDS Information 468-3820 <br />Public Health Nursing <br />468-3860 <br />WIC <br />466-3280 <br />