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ZEE. W <br /> r. <br /> 80AAD Of TRUST>L s SAN JOAQUIN LOCAL HEALTH DISTRICT "AYING <br /> At Crow,Pry4 San Jo4own County <br /> Ear!Pirnwntai,Pica Pry 1601 East H8.4I1Dn Avenue Gty 0 Manteca <br /> Tommy Jayne,Seng. Stockton,California 95205 Cly 01 Es<alon <br /> James F.Cutb"man Gy of foal <br /> John D.Mu4 M.C. 1041 KHMNA., I", "Ji, DWRICT HEALTH OFf1CFA Gy of Tracy <br /> VlryfN4 Mame" Cly of Rpmocy <br /> Ti On=SchubarL D.VJA ENVIRONMENTAL HEALTH DIVISION Sart Jaaquln County <br /> Dapt�tyMlwr (2093 468-3420 <br /> }pnpy 1MIlllern�,i'hD. Clty of Stocic:or+ <br /> Sm Joaquin County <br /> ^U'r"OIR x ZA r ION -rO Ma"E:A8M <br /> ANALYTICAL RESULTS <br /> • GEOTECHNICAL DATR <br /> . R -Vr ENVIRONMENTAL/SITE ASSESSMENT INFORMATION <br /> I, THE UNDERSIGNED OWNER AND/OR OPERATOR OF THE PROPERTY AND/OR FACILITY <br /> LOCATED AT Aklullw ST' <br /> (Sri££- e111£SP (car) <br /> HEREBY AII7HORIZEj L,AL P,S <br /> (LINI11017 ar COIS111141) <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 TTME IT IS PROVIDED <br /> TO ME OR MY REPRESENTATIVE. <br /> BUSINESS NAME>I <br /> (IF A"L(C11L£) <br /> OWNER/OPERATOR; .sl s] � Ey� <br /> f! IS 110 {r le <br /> ADDRESSt C o rZ S E✓. LUQ (, -rg,� R <br /> • (Nftrli A1Adf5S) <br /> >_y <br /> win (61+41£) (lit) <br /> PHONES !lZ ) 4 a_ 12 I, <br /> .y <br /> DATE, <br /> FH 23 041 Revised 1/89 <br /> 48x•3400 4811-3h38 a6C-5120 468-3860 <br /> Air Pottutlan t ammu"Sakes Laboratory YtRC <br /> 40-3470 468.3820 488-0100 469-3280 <br /> AIDS InforrmUon 46a•3= <br /> RURCUKTION OF THIS <br /> DOCUMWr GANWT BE <br /> IMPROVED DLE TO THE <br /> CONDITION Off' 114E MCINAL <br />