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S at. a -m I a..aa F— e, el <br /> I ' <br /> aoAAD or TRUSTE" SAN JOAQUIN LOCAL HEALTH DISTRICT SERVING <br /> Al Crow,Prea. Sen Joaquin County <br /> l Part Piment•I,Vine Pres. 1$01 East Hazelton Avenue C-4i of Manitta <br /> Tommy Joyce.Selly. Stockton,California 95205 Gty o+Eacaion <br /> Jt%mea F.Culbertson <br /> John D.Mast,M.O. JOG) r"HAJMfo.A, I0.0^ FO,P.H., DISTRICT HULTH OFFICERCny of Lodi <br /> Virginia Mathews City of Tracy <br /> Thomas Schubert,D.V.M. ENVIRONMENTAL HEALTH DIVISION City of Ripon <br /> (209) 45$-3420 <br /> De has Shaw San Joaquin County <br /> v <br /> Harvsy Williams,Ph.D. City of Stockton <br /> San Joaquin Gour+ly <br /> AUTHOFZ Z Z A'Y' I QN -T-C) 1ZEL <br /> 4+ ANALYTICAL RESULTS <br /> 4W GEOTECHNICAL DATA <br /> 40- ENVIRONMENTAL/SITE ASSESSMENT INFORMATION <br /> I , THE UNDERSIGNED OWNER AND/OR OPERATOR OF THE PROPERTY AND/OR FACILITY <br /> LOCATED AT 1534 El 21rial . �AtQ-ktop, CA 95205 <br /> (STREET )DDRESS) (CITY) <br /> HEREBY AUTHORIZE BSK b Associ-tee <br /> (LABORATORY or COMSILIARTJ <br /> TO RELEASE ANY AND ALL ANALYTICAL RESULTS, GEOTECHNICAL DATA AND/OR <br /> ENVIP,ONMENTAL/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: J. ZENTNER CO. <br /> (IF AMICAKE) 20 <br /> OWNER/OPERATOR: <br /> IPjFASF lAT) (TITLE) m <br /> (srsRAT�RE) � <br /> ADDRESS: 7� <br /> (AAAIN6 AdDRE551 T m Z o Z z m 3 <br /> y a D <br /> A `n EO S O m <br /> Sacumea ata_ ( A_ 95828 <br /> a a � g,2 ➢ n � � Z <br /> rn o oo r ti Z _ m <br /> (Cllr) 15T Al E) (IIP) N 0 ➢ r r O z D x <br /> D Z ➢ G7 r <br /> PHONE i 916) 3$1-7100 w ' 10 <br /> n m E3. <br /> C. { 3 <br /> m 5 m <br /> cn Z Z <br /> w � <br /> m 2 <br /> cn — <br /> DATE: z N <br /> June 1 , 1989 <br /> EH 20 041 Revised 1 /8-3 <br /> Adminlalratlon Services Envtronmentpl Health PubAC Health Nunsfn <br /> 468-3400 468-383o AB8.3420 g <br /> 461T-3864 <br /> At(Pollution Community ServiCea Laboratory WIC <br /> 468-3470 488-3820 468-'ACO 4id-2280 <br /> A1r1 in rr...- .v. AP. n s. <br />