Laserfiche WebLink
SAN JOAQUINd LOCnL HEALTH TRICT <br /> "Ory l& C. low,vac. 1'r.., SERVING <br /> iG41 E..I f{aiellon Avenue, P.O. Box 2009 <br /> F.uticl• E. Y■nnuccl, 6.c'r. CNy of L041' <br /> To-"r"y JoyC• <br /> San Joaquin County <br /> Ea.1 F'"*M.{ Stockton, Cailiornla 95201 San Joaquin C*vniy <br /> "7"A Matlr.w. CNy Vl E.CktOn <br /> D-44 L Eb... (209) 466-67a 1 CKY of Ment.ca <br /> 01V 04 n1po-M <br /> Joh D.Most, M.D. 01Y d 5lackron <br /> nrn. 6.Kraham Jog(Kh+^^ti M,r)�M.t.H,"br"fSaatth otnc.# <br /> CRy e(Tracy r <br /> ran Joaqurn County (` <br /> AUTf{OItILATION TO RELEASE ANALYTICAL RESULTS, GEOTECE{!{ICAL DATA ANDSITE ASSESSMENT INFORMATION{ � <br /> i <br /> Ir the undersigned owner and/or operator of ttte property and/or <br /> located at facility <br /> Of <br /> San Joa. uzn County locations <br /> r hereby auttzorize Canonie" Engineering; Inc. <br /> to release any ar'd ,all. analytical results , <br /> geotechnical data and site <br /> assessment information to ttic Sari Joaquin Local Health District; as so <br /> as it is availableand at ttie same time it is provided to me on <br /> or my <br /> repres-entatzve. <br /> SaJoaquirCoun�y Government Buildings <br /> O <br /> CUII <br /> wner/Operator : D nni.s Marciasini <br /> 1722 E. Scotts 1lvenue Tz tie : Assistant Director <br /> — f'lrc�rrc: : <br /> —S- --� _ <br /> Date : --i Llay 2 p er. 19 8 8 <br /> ENVIHOMEN" AL HEI;LTFI <br /> FERitisiT/SERVICES. <br /> i <br />{ <br /> Fit <br /> 6 f <br />