Laserfiche WebLink
BOARb OF vptus1EEs SAN*„JAQUIN LOCAL HEALTH DIST,,,:T SERVING <br /> Jamas Culbertson. Pres. City of Lodi <br /> Patrkia E. Vaonuccl. Sac'y. 1601 East Hazelton Avenue, P. O. Box 2009 San JoaavinCounty <br /> Anthonelte Ven Spronsen <br /> City of Escalon <br /> Earl Plmentel Stockton, California 95201 City of Manteca <br /> Fern Bupbee 209/466 6781 City of Ripon <br /> Daniel L. Flores City of Stockton <br /> John 0. Mast, M.D. City of Tracy <br /> William J. Wada Jopl Khanna, M.D., M.P.N., District Health Officer San Joaquin County <br /> Mary Anna Love San Joaquin County <br /> AUTHORIZATION TO RELEASE ANALYTICAL RESULTS, GEOTECHNICAL DATA AND <br /> SITE ASSESSMENT INFORMATION <br /> I, the undersigned owner and/or operator of the property and/or facility <br /> located at 825 E. IvJIER ST. ST0=N CA <br /> hereby authorize F.G.L. NELSIN LABORATORY of STOCKTON <br /> 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 /> Owner/Operator: �, ��. Title: <br /> Address p_0. BOX 100308 STOC[ZI'ON Ca. Phone: 9,11-6161 <br /> Date: 13 SEPT 1988 <br /> iii 08 OS UGT 13 r <br />