Laserfiche WebLink
BOARD OF TRUSTEES SA�JOAMIN LOCAL HEALTH DIST SERVING <br /> At Crow,Pres. San Joaquin County <br /> Earl Pimentel,vice Pres. 1601 East Hazelton Avenue City of Manteca <br /> Tommy Joyce,Secy. Stockton, California 95205 City o1 Escalon <br /> James F,Culbertson City of Lodi <br /> John D,Mast,M,D, JOGI KHANNA, M.D., M.P.H., DISTRICT HEALTH OFFICER City of Tracy <br /> Virginia Mathews City of Ripon <br /> Thomas Schubert,O.V.M, ENVIRONMENTAL HEALTH DIVISION San Joaquin County <br /> Daphne Shaw (209) 468-3420 City of Stockton <br /> Harvey Williams,Ph.D. San Joaquin County <br /> AU-rHOFR I ZAT I ON TO R4 E:L—aAE3E <br /> - - ANALYTICAL RESULTS <br /> - - GEOTECHNICAL DATA <br /> -�- ENVIRONMENTAL/SITE ASSESSMENT INFORMATION <br /> I , THE UNDERSIGNED OWNED AND/OR OPERATOR OF THE PROPERTY AND/OR FACILITY <br /> LOCATED AT 2120 Wi 1 cox Road Stockton, CA. <br /> (STREET ADDRESS) (CITY) <br /> HEREBY AUTHORIZE F.G.L. <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: Moorman' s Water systems <br /> (1F APPLICABLE) a <br /> OWNER/OPERATOR: Larry Moorman President <br /> (PLEASE PR1Ny1 (TITLE) <br /> ./ fr <br /> ADDRESS: 2.120 Wi l cox Road <br /> (NAILING ADDRESS) <br /> Stockton Ca, 95205 <br /> (CITY) (STATE) (ZIP) <br /> PHONE: ( 209 ) 931-3210 <br /> DATE: Feb. 7, 1990 <br /> EH 23 041 Revised 1/89 <br /> Administration Clinical Services Environmental Hearth Public Health Nursing <br /> 468-3400 468-3830 468-3420 468-3860 <br /> Air Pollution Community Services Laboratory WIC <br /> 468-3470 468-3820 468-3460 468-3280 <br /> AIDS information 468-3820 <br />