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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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3500 - Local Oversight Program
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PR0545669
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
5/19/2020 11:37:23 AM
Creation date
5/19/2020 11:34:32 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545669
PE
3528
FACILITY_ID
FA0005640
FACILITY_NAME
SJ SULPHER CO
STREET_NUMBER
711
Direction
N
STREET_NAME
SACRAMENTO
STREET_TYPE
ST
City
LODI
Zip
95240
CURRENT_STATUS
02
SITE_LOCATION
711 N SACRAMENTO ST
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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'OARQ'QF 1RUSTEES SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> SEAVlNO <br /> i James Cubertson. Prea. <br /> Patrlcla E. Vannuccl. Secy City of Lodi <br /> Anthonelle Van Spron,on 1601 East Hazelton Avenue, P. 0. Box 2009 San Joaquln County <br /> Earl Plmenlel Stockton, California 95201 city of Eacalon <br /> Fern f3ugbee <br /> City of Manteca <br /> Daniel L. Flores 209/466-6761 City of Ripon <br /> Clty of Stockton <br /> John D. Masi, M.D. City of Tracy <br /> William J. Wade Jogl Khanna, M.D., M.P.H., Olatrict Health Officer San Joaquin County <br /> Mary Anna Love San Joaquin County <br /> AUTHORIZATION <br /> T0 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 711 N. Sacramento Street, Lodi, CA 95240 <br /> hereby authorize Canonie Environmental Engineering <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: truce A. Turlingto �___ Title: Partner <br /> Address PO Box 127 Phone: 368-6676 <br /> Lodi, CA 95241 <br /> Date: 12/30/86 <br /> i. <br /> EH 08 05 UGT 13 <br />
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