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WARD OF THUSTEEJ SAN JO,e QUIN LOCAL HEALTH DISTRICT <br /> Al Crow,Pres. S!»i�Y1NEl <br /> [en Pimontul,Vice Prop, 1601 EW HAZOR011 Avenue S►"Joaquin County <br /> Tommy Joyce,se,,r'y, Stocxton, Caiiyof rlla 95L�J5 City o1 hlerAcca <br /> evn <br /> James F.CulbertCity of Eticalot, <br /> John R,Mail4 h1.0. JOal KHAt+fK L4t.t)., h-Klrl,• DISTRICT HLALTH Of FiCI R City of Lodi <br /> Wolnia Mddiews City of Tracy <br /> Thonwo ScltuDeri,U.v.m, F.NV I RONN NTAL HEALTH DIVISION city of nlWn <br /> Uaphne Shaw Son Joaquin County <br /> Harvey Williams,Ph.p. l:!0'31 Esn— �?1:1 City of swickku, <br /> San JuIAquln County <br /> 4* ANALYTICAL RE=SULTS _r <br /> 4*- GEOTECHNICAL DATA <br /> �►+ <br /> ENVIRONMENTAL,/SITE ASf3E;1SMENT .N ORMAT I OIC <br /> I, rHE UNDERF.IGNED LNNETP ANDIOR OPERATOR OF THC PPOPERTY AND.,'O,; FACILITY <br /> LOCATED AT <br /> Efl (C11Y) <br /> FIEREDY AUTHORIZE <br /> TO RELEASE ANN' AND AI-L. ANALYTICAL RESULTS, CFU t-E"CHN I CAL DATA AWY OR <br /> ENV I PONMENTAL/SITE A SSE`iSIIENT I NFOPMAT I ON TO Tirff SAN JOAQUI N LOCAL HEALTH <br /> D I STR r C T AS SOON AS IT IS AVAIL-ABLE AND AT THE "TAME TIME IT JS f'hUV I r)km <br /> TO ME OR MY R ' 'kESENTAT I V-„ <br /> BUSINESS NAM -2 - -- <br /> OWNER/OPERATOR: <br /> AM-t �nwNEl?/OPERATt]l2: <br /> ( LEASE Pttlh!) (!1lLE) <br /> ADDRESS: CS!I <br /> fNA1L(A6 AaD>4fSS) •-- ---_..._.—_—�,,..�,..._.�._..,._.r._.......r._..__. __....-- <br /> (CITY) ^ .J (SIAIF! (tri} <br /> PHONE <br /> DATE: <br /> EH 23 041 Rpvi sera 1/Ori <br /> Administration Clinical S,r,vlCea Envlror,rneni>al HrpclLh <br /> 468.3400Public''ri�trsifh tvutyfng <br /> 4G$ 3h30 468-3420 <br /> Air Pollution Community 3omicea bo <br /> 48A-3470 laboratory We <br /> x68.3820 468-J4W <br /> de�-1'fltl <br />