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jitM ,o>F TRUSTEES SA JOAQU1N LOCAL HEALTH D1%4T <br /> At cleft Pros. `� SERVING <br /> Earl Wmintel,Vice Pres 1601 East Hazelton Avenue San Joaquin County <br /> Tommy`I0ym Sadly. Stockton,California 95205 City of Manteca <br /> James F.Cufbortsom City of Esoabn <br /> John D.UsK M.D. JOG! KHANNA, M.D., M.P.H., DISTRICT HEALTH OFFICER Crit o1 Lodi <br /> 1Mginis Ma"" City of Tracy <br /> Thomas Schubert D.V.M. ENVIRONMENTAL HEALTH DIVISION City of Ripon <br /> Daphne Shaw (209) 468-3420 San Joaquin County <br /> Harvey Wi8lams,PhD. City of Stockton <br /> ,,an.Joaquin County <br /> AUTHOR I ZAT I OIV TO F;ZELEAa <br /> F <br /> - ANALYTICAL RESULTS <br /> - <br /> GEOTECHNICAL DATA J *41 t, h9 r <br /> - ENVIRONMENTAL/SITE ASSESSMENT INFORMATy <br /> OVAQ <br /> I, THE UNDERSIGNED OWNER AND/OR OPERATOR OF" THE PROPERTY AND/OR FACSTY' <br /> LOCATED AT - 1515 W Weber Slockton <br /> HEREBY AUTHORIZE (STREET ADDRESS) (CITY) <br /> (LABORATORY ar COBSBLIAIT) <br /> TO RELEASE ANY ANL\ ANALYTICAL RESULTS, GEDTECHNICAL DATA AND/OR <br /> ENVIRONMENTAL/SITE ASSESSMENT INFORMATION TO THE SAN JOAQUIN LOCAL HEALTH <br /> DISTRICT AS SOON AS IT IS AVAILABLE AT THE SAME TIME IT IS PROVIDED <br /> TO ME OR MY REPRESENTATIVE. <br /> BUSINESS NAME: Farmer's Baita d S <br /> URRIV <br /> (IF APPt(CABLE) <br /> OWNER/OPERATOR: Sante Fe Pacific Reap OW <br /> (PLEASE PALMI) (TITLE) <br /> (S tiMATORf) <br /> ADDRESS: 201 Mission Street Suite 250 <br /> (XARtAB ADDRESS) <br /> San Francisco CA 94105 <br /> (CITT) (STATE) (ZIP) <br /> PHONE: CU <br /> Ar. ) x'74- 4L3 <br /> DATE: MAY 3 01989 <br /> EH 23 041 Revised 1/89 <br /> ENVIRDPv°MENTA_HES 1-'' <br /> 'fin ' Clinical Services <br /> 4W-3400 - Environmental Haeith Public Health Nursing <br /> _ 466-3420 468-3860 <br /> Air Pollutione S <br /> ty Communiervices <br /> 468-3470 Community <br /> SLaboratory WIC <br /> 468-3460468-3280 <br /> ATOS Information 468-3820 <br />