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SdARD 00. <br /> TRUSTEES SAS`IOAQUIN LOCAL HEALTH DISTF-'* SERVING <br /> Al Crow,Pres. San Joaquin County <br /> Earl Pimentef,Vice Pres, 1601 East Hazelton Avenue City of Manteca <br /> Tommy Joyce,Secy. Stockton, California 95205 City of Escalon <br /> James F.Culbertson <br /> City of Lodi <br /> John 0.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 D.V.M. ENVIRONMENTAL HEALTH DIVISION <br /> San Joaquin County <br /> Daphne Shaw (209) 468-3420 City of Stockton <br /> Harvey Williams,Ph.D. San Joaquin County <br /> AUTHOR I Z A T I CDM T CJ R E L E A S E <br /> - - ANALYTICAL RESULTS <br /> - - GEOTECHNICAL DATA <br /> ENVIRONMENTAL/SITE ASSESSMENT INFORMATION <br /> I , THE UNDERSIGNED OWNER AND/OR OPERATOR, OF THE PROPERTY AND/OR FACILITY <br /> LOCATED AT 800 East Kettleman Lane . Lodi , California <br /> (STREET ADDRESS) (CITY) <br /> HEREBY AUTHORIZE Applied GeoSystems <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: ARCO Products Company <br /> (If APPLICABLE) <br /> OWNER/OPERATOR: Kvle Christie Environmental Engineer <br /> (PLEASE PRINT) (TITLE) <br /> / (SIGNAIUAE) <br /> ADDRESS: P . O . Box 5811 <br /> (NAILING ADDRESS) <br /> San Mateo . California 94402 <br /> (CITY) (STATE) (ZIP) <br /> PHONE: ( 415 ) 57 1 -2434 <br /> DATE: November 20 . 1990 I <br /> EH 2� 041 Revised 1/09 <br /> Administration Clinical Servicos Environmental lisa:th Public Health Nursing <br /> 466-3400 468-3830 468-3420 463-3860 <br /> Air Pollution Community Services laboratory WIC <br /> 468-3470 468-3820 4138-34G0 468-3280 <br /> AIDS Information 468-3820 <br />