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0- SITE MITIGATION ACTJ M&ENKEIIT/REWEST FOR $E lcn FORM <br /> 9179 tNflJ rlON SAN JOACt1TN CM&ft - PUBLIC REALT11 KRV1=AWVAR01 4NTAL HEALTH DIVISION <br /> ----_ W"::=1 <br /> GENCY <br /> ITE Matheson Fast Freight CONTACT <br /> DRESS 1Q2 East Walnut Lodi ,CA7:7i <br /> ITT Lodi , CA TP <br /> SILLINO 1 RHSPM[ALII PARTY WFOM711TAf <br /> we Ramcon <br /> ILINO AO11RE86 PO Box 1024 <br /> ITT West SacramentoTaTI? CA IP 95691 <br /> TACT HAM Damon J. Lee RaNB ( 916 ) 372-7535 <br /> PSOPI:RTT P4INE1y01't:t1ATOk <br /> Matheson truckin Co. NONe ( 415 ) 687-4800 <br /> Date$$ PO oxU bb <br /> ITY Concord, CA 94524 TAT$ IP <br /> t1IlNT INFORKA7IO1t (IF DIFMENT fKM OHNERAPIAATOR) <br /> tow <br /> rIT <br /> EBS <br /> TATE IP <br /> AUTNDAIZA(!CN TO RELEASE/BILLING ACKNOAEOGENINT <br /> 1, TRE MERBIGM 0010, OPERATOR, CLIENT, OR AGENT OF SAME, OF TRE PROPERTY LOCATED AT THE ADNE SITE- AODIif:S$ WgroY <br /> AUTHORIES TN8 RELEASE OF ANT ARD ALL AMYTICAL 29SULT2, CEOTICHNICAL DATA AIIDIOR ENVIROWNTAL/SITE AISES$MENT INFORMATION TO <br /> SAN JOAQUIN COUNTY PUBLIC NEALTN SERVICES, EVY146"UTAL NEALTN DIVISION At BGON AS IT IS AVAILABLE AND AT THE SAME TIME IT IS <br /> PROVIOED TO"I OR NY RIPMENUTIVF. <br /> 1lGDIilD11ALLr, I, TN8 NNDBRSIONao MER, OPERATOR, CLIENT, OR AGENT OF SANE, ACICROULEMi TWIT ALL SITE Atfd/OR PMrzel SPECIFIC <br />• <br /> FMOVERD llOUtt{LY CltARiaa .gSE'#�'SPTe »I+ez 1?jLL:E R1il.ED,70 T!m amgr1! wtpzsx,so ani : .IH° i4pSgp0%tSj#:a 1RTYK. <br /> APPLICANVO NAME, TITLE. SIGVAIURC/OATE <br /> MB Ramc.on Michael S. Ramos $,$ 569-78-2907 kk <br /> IGNATURe ye 8-5-91 <br /> T <br /> Ramcon ITLE Owner ! <br /> i <br /> AU <br /> ENVIRONMENTAL <br /> TM <br /> n A <br />