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' BOARD OF TRUSTEES • • <br /> SAN JOAOUIN LOCAL HEALTH DISTRI T <br /> Al Crow,Pres, SERVING <br /> Earl Plmentel,Vice Pres. 1601 East Hazelton Avenue �) San Joaquin County <br /> Tommy Joyce,Secy, Stockton, California 95205 City of Manteca <br /> James F.Culbertson <br /> John D.Mott, City of Escalon <br /> JOGI KHANNA. M.D., M.P.H., DISTRICT HEALTH OFFICER City or Lodi <br /> Thomas <br /> es Schubert D.V.M.le Mathewsws City of Tracy <br /> ENVIRONMENTAL HEALTH DIVISION City of Ripon <br /> Daphne Show <br /> Harvey Williams,Ph.D. (209) 468-3420 San Joaquin County <br /> City of Slockton <br /> AUTHOR Z z ^-r = C),.,j -r C3 R E IL E A E3 E Son Joaquin County <br /> -t+- ANALYTICAL RESULTS <br /> �- GEOTECHNICAL DATA <br /> a+ ENVIRONMENTAL/SITE ASSESSMENT INFORMATION <br /> I , THE UNDERSIGNED OWNER AND/OR OPERATOR OF THE PROPERTY AND/OR FACILITY <br /> LOCATED AT 2966 Turnpike Rd. Stockton, Ca 95206 <br /> HEREBY AUTHORIZE (Sluff 40DAES51�( c/ C (City) <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 /> F01tJSINESS NAME: QUINTERO'S AUTO DISMANTLERS <br /> (!f APP(1CAALf1 <br /> f 11JNER/OPERATOR: JESSIE M. CyUINTERO (OWNER) <br /> 7whif'Pum <br /> f5164A1UAU <br /> ADDRESS, 2966 TURNPIKE RD. <br /> (4A/LlN6 ADDtfSS1 <br /> STOCK'TON, CA 95206 <br /> (ClfF) ($14111 (I1P1 <br /> PHONE: ( 209 4664673 209 9445878 <br /> DATE: /a <br /> EH 23 041 Revised 1/89 <br /> Adminittrotlon Cllnlcnl Sorvicos <br /> 406.3400 460.3030 Environmental 11e04h PublIC Health Nursing <br /> 460-3420 460.3060 <br /> Air Potlullap Community ServIC01 <br /> 460.3470 460.3020 Laboratory WIC <br /> 4U-3^� 460.3200 <br />