Laserfiche WebLink
BOARD OF TRUSTEES SAN JOAOUIN LOCAL HEALTH DISTRICT SERVING <br /> James CUNWUon.PreOily o1 Lodi <br /> a. <br /> Mary Anna Love,Vies Pres. 16o1 East Hazelton Avenue,P.O.Box 2009 San Joaquin County <br /> Patricia E.Vannucci.Secy. San Joaquin County <br /> Tommy Joyce Stockton,California 95201 City of Esealon <br /> Earl Pimentel City of Manteca <br /> Virginia Mathews (209)466-6781 City of Ripon <br /> Daniei L-Flores City of Stockton <br /> John 0.Most M.D. Jogi Khanna,M.D,M.P.H..ENdriei Heatth Officer City of Tracy <br /> Gene S.Kratam San Joaquin County <br /> AUTHORIZATION TO RELEASE ANALYTICAL RESULTS,ESUL 5, GEOTECHNICAL DATA AND <br /> SITE ASSESSMENT INFORMATION <br /> I <br /> I. the undersigned owner and/or operator of the property and/or facility <br /> located at Ad W Y lZ <br /> hereby authorize ��t,�, td4,-� <br /> t 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 /> i Owner/Operator: <br /> t <br /> Address Phone; 3dq <br /> Date= /2 r9 C <br /> f <br /> r ' <br /> S <br /> EN 08 05 UGT 13 <br />