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BOARD 0!: TRUSTEES SAN JOAQUIN LOCAL HEALTH DISTRICT` ; !, �� ? SERVING <br /> Al Crow,Pres. San um County <br /> Earl Pimentel,vice Pres. 1601 East Hazelton Avenue City of Manteca <br /> Tommy Joyce,Sec'y. Stockton, California 95205 t City of Escalon <br /> James F.Culbertson IA Ay 19 <br /> 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 <br /> Thomas Schubert,D.V.M. ENVIRONMENTAL HEALTH DIVISION En'`'I�`'��''ii "NiQL���,A, !-F�'ty of Ripon <br /> Daphne Shaw (2f1�) 4�,8-34��t i 11ERM11"/SERV!C.,:-,' iaqum County <br /> City of Stockton <br /> Harvey Williams,Ph.D. San Joaquin County <br /> AUTHOFR I Z AT I ON TO F�EILEASE <br /> - - ANALYTICAL RESULTS 1 <br /> - <br /> GEOTECHNICAL DATA <br /> - ENVIRONMENTAL/SITE ASSESSMENT INFORMATION <br /> I, THE UNDERSIGNED OWNER AND/OR OPERATOR OF THE PROPERTY AND/OR FACILITY <br /> Grant Line Road West of Paradise Road <br /> LOCATED AT Parcel Numbers 237-300-1 and 213-070-43 Tracy <br /> (STREET ADDRESS) (CITY) <br /> HEREBY AUTHORIZE Earth Metrics Incorporated <br /> (LABORATORY or CONSULTANT) <br /> TO RELEASE ANY AND ALL ANALYTII=:AL 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: HIVEST <br /> (IF APPLICABLE) <br /> OWNER/OPERATOR: Mr, Hagop Manuelian <br /> (PLEASE PRINT) (TITLE) <br /> y I NAIURE f) <br /> ADDRESS: 100 S. Ellsworth, Fl or 9 <br /> (MIA <br /> ILING ADDRESS) <br /> San Mateo, CA 94401 <br /> (CITY) (STATE) (ZIP) <br /> PHONE: ( 415 ) 352-6051 <br /> DATE: April 28, 1989 <br /> EH 22 041 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 />