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v <br /> MEMO— <br /> a <br /> 0 soMD OF TSUSTIM SAN JOAQUIN LOCAL HEALTH DISTRICT sEl:vlxG <br /> M Crow,prey <br /> End Pkrmrrk 1,fts Pres 1601 East Hazelton Avenue San Joaquin County <br /> Tonin!'Jay=Secy. Stockton,Califocnia 95205 Clty of Manteca <br /> mas <br /> JaF.Culbertson Oly of Eocshn <br /> CF <br /> i�1lnla M8IMwsA JOG' KKMH& IYLD--+i.PJf, 01STRICT HEALTH QFF1t:Fli CJ ulTrack <br /> H cy <br /> Aa ••.arnUSehal)WlOVAL ENVIRONMENTAL HEALTH DIVISIONCity ofRlpon <br /> Dap"a Shaw C 20S) 468-3420 San Joaquin County <br /> Haney WUUsmr;PRD. City of Stockun <br /> San Joaquin Count' <br /> ^U*rHOF.Z I ZAT I ON TO FZELEA8E <br /> .sa ANALYTICAL RESULTS <br /> db <br /> GEOTECHNICAL DATA <br /> �*- ENVIRONMENTAL/SITE ASSESSMENT INFORMATION <br /> a I, THE UNDERSIGNED OWNER AND/OR OPERATOR OF THE PROPERTY AND/OR FACILITY <br /> LOCATED AT 225 Soath rte, Lodi., CA i faxiia <br /> (Sltffl ADIOS) (city) <br /> HEREBY AUTHORIZE 4PIied G3C9jS1= <br /> (UMRINR1 or COISDCIARI) <br /> ra TO RELEASE ANY AND ALL ANALYTICAL RESULTS, GEOTECHNICAL DATA AND/OR <br /> ENVIRONMENTAL/SITE ASSESSMENT INFORMATION TO THE SAN JOAQL:IN LOCAL HEALTH <br /> DISTRICT AS SOON AS IT IS AVAILABLE AND AT THE SAME TIME IT IS PROVIDED <br /> r ME OR MY REPRESENTATIVE. <br /> BUSINESS NAME: PRDftalcts CbTmw <br /> Ur Ar1t1CA31f) <br /> OWNER/OPERATOR: hyla pirisLie R&&-ar�D <br /> �fllfASE PR1111 f1111f1 <br /> I'Slli!'A111Rf) <br /> ADDRESS: P.O. B3 c 5811 <br /> rRArtrrc ADDRfss1 <br /> S 1%t1�, Gall mia 94402 <br /> fCllfl ($[Air) (rrr) <br /> PHONE t C 415 ) 571-2434 <br /> t <br /> DATE: Gio=dxr 17, 1490 <br /> EH 23 041 Revised 1/99 <br /> Ad_I Ist on Cilnleal Sarvicos Environmental lialth <br /> -aV � fvbfit Woatth Nuning <br /> 1611-3120 163.3860 <br /> Alr Pollution CCmmunity Servlce7 Laboratory Vile <br /> 160.3170 168.3020 40a-3160 168.9280 <br /> AIDS JWonnallon 168-9820 <br />