Laserfiche WebLink
boAAD of IAUSIEES SAN JOAQUIN LOCAL HEALTH DISTRICT SEAVIND <br /> J.msl Culuenson. Praa. ) <br /> P•iritis E. Vannuccl, Sac'y. ( � - Ily of Lnly <br /> Anthonatle van Swonsen 1601 East Harellon Avenue, f. O. 60X 2009 ,1.,,.1 *y In County <br /> pp 1 Eac alon <br /> Earl Plm enl el Stockton. California 95201 hZ pr <br /> 1 M.m oce" <br /> Farn DuDoea FEBDaniel L. Flores 209/466$781 B ?'7 City of Ripon <br /> John D. Mast, M.D. City of Stockton <br /> ENVIROMENTAL �� uy of Tracy <br /> William J. Wad® Jool Khanna, M.D., 0.4.P.ti., Dldrlct Health Officer uln County <br /> Mary Anna lova FERIVIIT/SERVIQUjoaquln County <br /> AUTHORIZATION TO RELEASE ANALYTICAL RESULTS, GEOTECHNICAL DATA AND <br /> SITE ASSESSMENT INFORMATION <br /> 1 , the undersigned owner and/or operator of the property and/or facility <br /> located at 1081 W. Mendocino Ave. , Stockton, CA 95211 <br /> hereby authorize California Water Laboratory, 1430 Carpenter Lane, Modesto, CA 95351 <br /> to release any and all analytical results, geotechnical data and site <br /> assessment information to the San Joaquin Local Health District as soon <br /> as it is available and at the same time it is provided to me or my <br /> representative. <br /> Owner/Operator: Title: Director of Physical Plant <br /> Address _ ini nn oss d r on A Phone: 946-2541 <br /> �f"k 6nMe .A�o�ygllve. <br /> Date: February 4, 1987 <br /> r <br />