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BOARD OF TRUSTEES SIV JOAQUIN LOCAL HEALTH DISOCT SERVING <br /> At Crow,Pres. San Joaquin County <br /> Earl Pimentel,vice Pres. 1601 East Hazelton Avenue City u Manteca <br /> Tommy Joyce,Secy. Stockton, California 95205 City of Escaion <br /> James F.Culbertson City of Lodi <br /> John D.Mast,M.D. JOGI KHANNA, M.D., M.P.H., DISTRICT HEALTH OFFICER City of Tracy <br /> Virginia Mathews City of Ripon <br /> Thomas Schubert D.V.M. ENVIRONMENTAL HEALTH DIVISION San Joaquin County <br /> Daphne Shaw (209) 468-3420 City of Stockton <br /> Harvey Williams,Ph.D. San Joaquin County <br /> AUTHOR I Z A T I C3N T E3 R E L E A S E <br /> ANALYTICAL RESULTS <br /> GEOTECHNICAL DATA <br /> ENVIRONMENTAL/SITE ASSESSMENT INFORMATION <br /> I , THE UNDERSIGNED OWNER. AND/OR. OPERATOR, OF THE PROPERTY AND/OR FACILITY <br /> LOCATED AT 4707 Pacific Avenue, Stockton <br /> (STREET ADDRESS) (CITY) <br /> HEREBY AUTHORIZE Applied GeoSystems, 4191 Power Inn Rd. , Suite D&E, Sacramento, Ca. 95826 <br /> (LABORATORY or CONSULTANT) <br /> TO RELEASE ANY AND ALL ANALYTICAL RESULTS, GEOTECHNICAL DATA AND/OR <br /> ENVIRONMENTAL/SITE ASSESSMENT INFORMATION TO THE SAN JOAQUIN LOCAL HEALTH <br /> DISTRICT AS SOON AS IT IS AVAILABLE AND AT THE SAME TIME IT IS PROVIDED <br /> TO ME OR, MY REPRESENTATIVE. <br /> BUSINESS NAME: UNOCAL Corporation <br /> (IF APPLICABLE) <br /> OWNER,/OPERATOR.: _kl( S/;SK iyY�A'pN/H�iVTAL ivlv,v�<-i� <br /> (PLE SE P Tl (TITLE) <br /> (S16NAIURE) <br /> ADDRESS 2175 North California Blvd. , Suite 650 <br /> �(RAILIN6 ADDRESS) <br /> Walnut Creek California 94596 <br /> (CITY) (STATE) (ZIP) <br /> PHONE: ( 415 ) 945-7676 <br /> DATE: <br /> EH 23 041 Revised 1/89 <br /> Administration Clinical Services Environmental Health Public Health Nursing <br /> 468-3400 468-3830 468-3420 468-3860 <br /> Air Pollution Community Services Laboratory WIC <br /> 468-3470 468-3820 468-3460 468-3280 <br /> AIDS Information 468-3820 <br />