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UOARD OF TRUSTEES <br />Al Crow, Pres. <br />Earl Pimentel, Vice Pres. <br />Tommy Joyce, Secy. <br />James F. Culbertson <br />John D. Most, M.D. <br />Virginia Mathews <br />Thomas Schubert, D.V.M. <br />Daphne Shaw <br />Harvey Williams, Ph.D. <br />RJOAQUIN LOCAL HEALTH DISTRICT <br />1601 East Hazelton Avenue <br />Stockton, California 95205 <br />JOGI KHANNA, M.D., M.P.H., DISTRICT HEALTH OFFICER <br />ENVIRONMENTAL HEALTH DIVISION <br />(209) 468-3420 <br />AUTHOR I Z A T I MM T O R E L E A S E <br />-W ANALYTICAL RESULTS <br />-x- GEOTECHNICAL DATA <br />-x- ENVIRONMENTAL/SITE ASSESSMENT INFORMATION <br />SERVING <br />San Joaquin County <br />City of Manteca <br />City of Escalon <br />City of Lodi <br />City of Tracy <br />City of Ripon <br />San Joaquin County <br />City of Stockton <br />San Joaquin County <br />I, THE UNDERSIGNED OWNER AND/OR OPERATOR OF THE PROPERTY AND/OR FACILITY <br />LOCATED AT 5555 Shippee Lane Stockton <br />(STREET ADDRESS) (CITY) <br />HEREBY AUTHORIZE 70 AE=DeTEhm <br />(LABORATORY or CONSULTANT) <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 NAME: N/A <br />(IF APPLICABLE) <br />OWNER/OPERATOR: Wells Fargo Bank, N.A., Trustee <br />(PLEASE PRINT) (TITLE) <br />�g��I <br />11) <br />SandrSaAK. etz Gerald A. Shupe <br />Associate Asset DIanager Assistant Vice President <br />ADDRESS: 4no-Cil* <br />all <br />(MAIL N6 ADDRESS) <br />Rarramanfn, California 95814 <br />(CITY) (STATE) (ZIP) <br />PHONE: ( 916 i 440-4941 <br />DATE: February 27, 1989 <br />EH 23 041 Revised 1/89 <br />Administration <br />Clinical Services <br />Environmental Health <br />468-3400 <br />468-3830 <br />468-3420 <br />Air Pollution <br />Community Services <br />Laboratory <br />468-3470 <br />468-3820 <br />468-3460 <br />AIDS Information 468-3820 <br />Public Health Nursing <br />468-3860 <br />WIC <br />468-3280 <br />