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2900 - Site Mitigation Program
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PR0009056
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Entry Properties
Last modified
10/3/2019 9:08:07 AM
Creation date
10/3/2019 8:44:44 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
WORK PLANS
RECORD_ID
PR0009056
PE
2960
FACILITY_ID
FA0004059
FACILITY_NAME
LODI DOOR & METAL CO
STREET_NUMBER
1220
STREET_NAME
VICTOR
STREET_TYPE
RD
City
LODI
Zip
95240
CURRENT_STATUS
02
SITE_LOCATION
1220 VICTOR RD
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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11,ZZ, na 11 j: J111 ZS211 0367 DALLAS CORP_ _ • X7002;0112 <br /> w <br /> aoARn of TRUSTEES SAN JOAQUIN LOCAL HEALTH DISTRICT SERI <br /> James Culbertson,Proc city o: <br /> Mary Anna Love,vice Pres. 1601 Fast Hazelton Avenue, P.O. Box 2009 San Joaquin C. <br /> Patricia E.vannucd•Secy. San Joaquin C <br /> Pommy Joyce Stockton,CatHomia 95201 city et E• <br /> Eart Pimentel City of Ma <br /> vfrpinta Mathews (209) 456.6781 City of l <br /> Daniel L,Flores City of Sto <br /> John 0.Mast.M.O. Jogi Khanna•M.D.M.P h_0is1rit9 Neatth OMcer City of <br /> Gene S.Krahan San Joaquin C <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 _ 1220 East victor Road, Lodi, California 95240 <br /> hereby authorize _ Remediation Services, Inc. <br /> to release any and all analytical results , geotechnical data and site ' <br /> assessment information to the San Joaquin Local ltealth District as soon <br /> as it i5 available and at the same time it i5 provided to mo or my <br /> representative . <br /> Vice President <br /> Owner/Cperator- 12ke&wll 'Pit1e: Human Resources <br /> AddreSS 6750 LBJ Freeway, Ste. 1200 , Phone : (214) 233-6611 <br /> Dallas, 'rX 75240 <br /> Date: November 22 . 1989 <br /> Uf; 23 041 3/86 <br /> L•:] <br />
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