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_ 03/20/90 08: $ 4650552 San Joavuin Lbr 02 <br /> IIAP•-19-1990 14:15 FROM WELDON,WELllON & (:UWLLL lu <br /> • <br /> BOARD OF TRUSTEES -SAN JOAQUIN LOCAL HEALTH WTRICT Benvaa <br /> Al Crow,Pre►, Ban Joaquin County <br /> Fart Pimentet,Vide Pros. 1801 East Hatelton Avenue City of Mamecs <br /> Tommy Joys,Seo'r. Stockton,Cldflomle 95205 City of Eaoslon <br /> James F.Culberlson Gy of Lodi <br /> John D.Masi M.O. 0001 KHANNA, M.D., MAN., attTRIOT HEALTH OFF1011 City of Tracy <br /> %Arglnlo Mathew$ CI of Ripon <br /> Thomas Schub440N.M. ENVIRONMENTAL HEALTH DIVISION San Joaquin County <br /> Daphne Show (209) 468"3420 Cly of Sloaklon <br /> Harvey Williams,PhD. van Joaquin County <br /> ^U'r"EJK I ZAlr I ON T© FR LEeASE <br /> ANALYTICAL RESULTS <br /> 4* QBOTECHNICAL DATA <br /> i+- ENVIRONMENTAL/BITE ASSESSMENT INFORMATION <br /> I , THE UNDERSIGNED OWNER AND/OR OPERATOR OF THE PROPERTY AND/OR FACILITY <br /> LOCATRD AT 4' �J G ��G S 7( ' <br /> (SrAEEI AIDAEti) (6111) <br /> HERKRY AUTHORIZE California Water Labs <br /> (tit"AA/AAl or 0111trAAr) <br /> TO RELEASE ANY AND ALL ANALYTICAL RESULTSr GEOTECHNICAL DATA AND/OR <br /> ENVIRONMENTAL/SITE ASSESSMENT INFORMATION TO THE SAN JOAQUIN LOCAL HEALTH <br /> DISTRICT AS SOON A5 IT IS AVAILAPLE: AND AT THE SAME TIME IT IS PROVIDED <br /> TO ME OR MY REPRESENTATIVE, <br /> BUSINESS NAMES: 3"m/ 'jvf74A)11 (/V <br /> , <br /> OWNER/OPERATOR; -✓ c''LG '�%� J. ,J� c-.J J. <br /> ADDRESS i _ <br /> (AA)uA6�A-1'PAESS! J <br /> (urn 010111 (ZIP) <br /> PHONES ( 'zl <br /> DATE$ ^� �� <br /> EH 23 041 Revised 1/89 <br /> Adminl0ro"00 Clinioal Barvloos Environmental Ileafdf Public Hoanh Nursing <br /> 400.3400 168.3030 468.3120 468.3800 <br /> Air Pollution Community BeMvva laboratory "0 <br /> 404,3020 400.3400 404.3200 <br /> --,-' —talon 40B-Dm <br />