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,0 -OF fAUSTEES <br />Ckow' Pres. <br />i'ari Pimentel, Vice Pres. <br />Tommy Joyce, Secy. <br />James F. Culbertson <br />John D. Maser M.D. <br />Virginia Mathews <br />Thomas Schubert D.V.M. <br />Daphne Shaw <br />Harvey Williams, — <br />Ph -D. - <br />SAN J©r'MIN LOCAL 1--IEP,LTH DISTRICT <br />1601 Cast }-iazclton Avenue <br />5lOClckolt, Californir: 95205 <br />JOGI KHANNA. m -D., M.P.H.. DISTRICT HEALTH OFFICER <br />ENVIRONMENTAL HEALTH DIVISION <br />AU—rH0FZ I ZIT' T 07 h-1 _F C3 F-'i�L_ <br />ANALYTICAL RESULTS <br />-x- GEOTECHNICAL DATA <br />-wENVIRONMENTAL/SITE ASSESSMENT INFORMATION <br />SERVING <br />San Joaquin Coar-! <br />Cir,{ of Manteca <br />Ci,y of Escaton <br />C:r/ of Loc, <br />City of Tracy <br />Cirj of Ripon <br />San Joaquin County <br />Cir; of Stockton <br />San Joaquin Gounly <br />I, THE UNDERSIGNED OWNER ANL)/OF; OPEI:ATOS. CF THE PROPERTY AND/OF' FACILITY <br />LOCATED AT ✓ 250 EAST BOTH ROAD f_-__LATBRQP--�— <br />(STREET ADDRESS) (CITY) <br />HERESY AUTHORIZE <br />(LABa?ATilf!Y or coxsoLlnxr) <br />TO RELEASE ANY AND ALL ANAL YT I f_:AL F -:E SULTS, ��EOTE FiN I GAL DATA AND/OR <br />ENV IRONMENTAL/SITE ASSESSME =NT I NF•-Of<MAT I ON TO THE SAN ,JOAQU I N LOCAL HEALTH <br />DISTRICT AS SCION AS IT' IS AVAILADLE AND AT THE SAME TIME IT IS P,';:OVIDED <br />TO ME OR MY REPRESENTATIVE. <br />BUSINESS NAME : X ASS- <br />(IF APPLICABLE) <br />OWNEE✓/DPERATOR f , I" <br />(PLEASE PPINN <br />_ , rsrsxAluRE) <br />Ct^--7 <br />ADDRESS: � 250 EAST ROTH _ .0 -Aa <br />(XAILI,NS ADDRESS) <br />(TITLE) <br />x LATHROP CALIFORNIA 94 <br />(CITY)(STATE) (?IP) <br />PHONE:X (. 209 :' 983-0 <br />EH '2'S 041 R2vi5ed 1/89 <br />Administration <br />Glinicai Sorvicos <br />468-3400 <br />46Fi-3830 <br />Air Pollution <br />Community Sorvi,t's <br />468-3470 <br />463.3820 <br />�J—T v r <br />fSG/kkb GDSGT6>< <br />s v r3 h`1 T <br />Environmonlal Hoalth Public Hearth N'ursing <br />468-3420 465-386.0 <br />Uibornfory wic J <br />468-3460 463-3260 <br />