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oA;Wy LrUf- IAUSTEES 6AN4F AN LOCAL HEALTH DISTRA SFAVIN( <br /> + Al Crow,Pres.- San Joaquin Count <br /> Earl Pime'ntet.Vice Pres. 1601 East Hazelton Avenue City of Manteca <br /> Tommy.Joyce.Secy. Stockton, California 95205 City of Escafor <br />_ City <br /> of Lodr <br /> Jame3 F.Culbertson <br /> hn D.Mast M.D. JOC,I KHANNA. M.D., M.P.H., DISTRICT HEALTH OFFICER City of Tracy <br /> rginla Mathews City of Ripon <br /> Thomas Schubert 0N.M. ENVIRONMENTAL HEALTH DIVISION San Joaquin County <br /> Daphne Shaw (1119) 468-34,41) City of Stockton <br /> Harvey Williams,Ph.D. San Joaquin County <br /> AU—r"OFZ 12:^—F-- I ON `TO F:ZELEe4SE <br /> -k- ANALYTICAL RESULTS <br /> -K- GEOTECHNICAL DATA <br /> +4- ENVIRONMENTAL/SITE ASSESSMENT INFORMATION <br /> It THE UNDERSIGNED OWNER AND/OR OPERATOR OF THE PROPERTY AND/OR FACILITY <br /> LOCATED AT 508 Walnut Street Lodi <br /> (S1REE1 ADORESS) (C11r) CA 90701 <br /> HEREBY AUTHORIZE internationalTechnology Corp. , 17605 Fabrica Way, Cerritos , <br /> (LAaoRAroRr or CORS(TAXI) (213) 921-9831 <br /> TO RELEASE ANY AND ALL ANALYTICAL RESULTS, GEOTECHNICAL DATA AND/OR <br /> t <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 /> I <br /> i <br /> BUSINESS NAME: Rainioo Baking company <br /> (1f APPUCA81.0 <br /> OWNER/OF'ERATOR: Perry Fisher, Direct Corporate- Environmental Health <br /> (PLEAS P1 A1) � /' �(1lfiE1 <br /> (Sf6dA1URE1 <br /> ADDRESS: Campbell Taggart, Inc. , 3401 Haggar Way <br /> (AAf[Il(6 ADDRESS) <br /> Dallas, Texas 75235 <br /> (0111) (S1A1E) (I1r) <br /> PHONE: (214) 358--9404 <br /> DATE: <br /> EH �O 041 Revised 1/89 <br /> Administration Clinical Services Environmental Hearth Public Health Nursing <br /> 468-3400 <br /> 468-3930 468-3420 468-38£0 <br /> Air Pollution Community Services Laboratory 8 <br /> 468-3470 468-3871} 468-3460 468-3-3 <br /> 280 <br /> AIDS Information 468-3+120 <br />