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-D*- ANALYTICAL RESULTS <br />-r1- 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 1646 Wagner Avenue Stockton, CA <br />(STAEEI A1IAESS) (City) <br />HEREBY AUTHORIZE Canonie Environmental Stockton CA 983-1340 <br />(LAIOAALOAy or COISILIA111 <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: CALIFORNIA WATER SERVICE COMPANY <br />OF ANLICA1111 <br />OWNER/OPERATOR: <br />ADDRESS: 1111 N. EL DORADO <br />(1AR116 AIOAESS) <br />(ZIP) <br />PHONE: ( 209) 464-8311 ! <br />! <br />DATE: June 28, 1989 <br />EH 23 041 Revised 1/89 <br />Administration Clinical Services Environmental Hea1M <br />448-3100 468.3&10 408.9120 <br />Air Pollution Community Services Laboratory <br />468.3410 488.3820 468.3160 <br />NDS Information 488.9020 <br />Public Health Nursing <br />468-9880 <br />WIC <br />404.32W <br />• <br />5OAfl0 OF TRUSTEES <br />SA AQUIN LOCAL HEALTH <br />DISTRICT <br />SERVING <br />San Joaquin County <br />AlCrow, Pru. <br />Al ow.Pliffi <br />1601 East Hazallon Avenue <br />City of Manteca <br />ntai.Pf" wu Pray <br />Stockton, California 95205 <br />City of Escslon <br />Tommy Joyce, Saar. <br />City of Lodi <br />James F. i <br />Masi. M.D. <br />John D Masi.M.D. <br />JOOI KHANNA, M.D., M.P.N., DISTRICT HEALTH <br />OFFICER <br />Cary o Tracy <br />. <br />Vinpinia Mathews <br />Thornes Schubert D.V.M. <br />ENVIRONMENTAL HEALTH DIVISION <br />San Joaquin County <br />Daphne Show <br />( 209 ) 468-3420 <br />City of Stockton <br />San Joaquin County <br />Hwy" Williams, PhD. <br />AUTHOR I ZA-r I ON TO <br />REL-E=A0E= <br />-D*- ANALYTICAL RESULTS <br />-r1- 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 1646 Wagner Avenue Stockton, CA <br />(STAEEI A1IAESS) (City) <br />HEREBY AUTHORIZE Canonie Environmental Stockton CA 983-1340 <br />(LAIOAALOAy or COISILIA111 <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: CALIFORNIA WATER SERVICE COMPANY <br />OF ANLICA1111 <br />OWNER/OPERATOR: <br />ADDRESS: 1111 N. EL DORADO <br />(1AR116 AIOAESS) <br />(ZIP) <br />PHONE: ( 209) 464-8311 ! <br />! <br />DATE: June 28, 1989 <br />EH 23 041 Revised 1/89 <br />Administration Clinical Services Environmental Hea1M <br />448-3100 468.3&10 408.9120 <br />Air Pollution Community Services Laboratory <br />468.3410 488.3820 468.3160 <br />NDS Information 488.9020 <br />Public Health Nursing <br />468-9880 <br />WIC <br />404.32W <br />