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BOARD OF TRUSTEES SAN JOAQUIN LOCAL HEALTH DISTRIt;T SERVING <br /> Al Crow,Pres. San Joaquin County <br /> Earl Pimentel,vice Pres. 1601 East Hazelton Avenue City of Manteca <br /> Tommy Joyce,Sec'y. Stockton, California 95205 City of Escalon <br /> James F.Culbertson City of Lodi <br /> John D,Mast,M.D. JOGI KHANNA, M.D., M.P.11., 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 (`t 9) 4E8-3420 City of Stockton <br /> Harvey Williams,Ph.D. San Joaquin County <br /> AUTHOFR I ZAT I ORI TO FREI_EA:E3E <br /> - ANALYTICAL RESULTS <br /> - GEOTECHNICAL DATA <br /> ENVIRONMENTAL/SITE ASSESSMENT INFORMATION <br /> I , THE UNDERSI13NED OWNER AND/OR OPERATOR OF THE PROPERTY AND/OR FACILITY <br /> LOCATED AT 1711 E. Yosemite Ave. , Manteca, CA <br /> (STREET ADDRESS) (City) <br /> HEREBY AUTHORIZE <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 AVAILADLE AND AT THE SAME TIME IT IS PROVIDED <br /> TO ME OR MY REPRESENTATIVE. <br /> BUSINESS NAME• ARCO Facility II 6020 <br /> (IF APPLICABLE) <br /> OWNER,/OPERATOR: g�41P Chrjgt-ip for ARCO Prgduts Comganv Environmental Engineer <br /> (PLEASE PRIMO/ (TIME) <br /> (S161ATURE) <br /> ADDRESS: 2000 Alameda de leis Pulgas <br /> (NAILING ADDRESS) <br /> San Mateo, CA 94403 <br /> (CITY) (STATE) (ZIP) <br /> PHONE: ( 415 > 571-2400 <br /> DATE: 10-4-90 <br /> EH A13 041 Revised 1/89 f <br /> Administration Clinical Servicos Environmental liea;lh Public lioalth Nursing <br /> 468-3400 468-3830 468-3420 463-3860 <br /> Air Pollution Community Services Laboratory WIC <br /> 460-3470 468-3820 468-3460 4G8-3200 <br /> AIDS Information 463-3820 <br />