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(� <br /> AM aell <br /> BOARD OF TRUSTEES SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> Af Craw,Pres SERVING <br /> Earl Plmanlal,%nce Fres 1601 East Hazelton Avenue <br /> San loaqum Ccuny <br /> Tommy Joyce,Sac-y. Stockton,California 95205 City of Manteca <br /> Jamas F.Culbertson City of Escalon <br /> John D.Mau,M.U. JOGI KHAHHA, lJ.U„ M.P.H.,DISTRICT HEALTH OFFICER Cary of Lodi <br /> Virginia Mathews Ci <br /> Thomas Schubert O.VCity of Tracy <br /> ENVIRONMENTAL ENVIRONMENTAL HEALTH DIVISION City of Ripon <br /> Daphne Shaw San Joaquin Count <br /> Harvey Wdliam `r�, <br /> a,Ph.D. �. 468-3421) Cit Of Stockton <br /> ^u-r 4OFZ I ZA-r Y Oh! Z-O FSELE.4aE San Joaquin County ' <br /> -+� ANALYTICAL RESULTS <br /> �• GEOTECHNICAL DATA <br /> ENVIRONMENTAL/SITE ASSESSMENT INFORMATION <br /> I, THE UNDERSIGNED OWNER AND/OR OPERATOR OF THE PROPERTY AND/OF FACILITY <br /> LOCATED AT� 1 W. Turner Road, Lodi, CA 95240 <br /> (mal APPRFSS) (C11TJ <br /> HEREBY AUTHORIZE Canonie Environmental, Stockton, CA 983-1340 <br /> TO RELEASE ((RIOARCAr OP Rr <br /> ANY AND ALL ANALYTICAL RESULTS, GEOTECHNICAL DATA AND/OR ^ <br /> ENVIP.DNMENTAL/SfTE 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: Ford Construction, Inc. and Jim Thorpe Oil, Inc. <br /> r!F AffFlCABLFJ <br /> OWNER/OPERATOR: Jim Thorpe Oil, Inc. President <br /> flfJ (1r11FJ <br /> (S1GIiAff1RF) <br /> ADDRESS: P. 0. Box 357 <br /> rrArr rxa AaaiFssJ <br /> Lodi, CA 95241-0357 <br /> (City) fs1AlFJ rllrJ <br /> PHONE: ( 209 ) 462-4581 <br /> _...- ----- - - - - .-_..- <br /> May-23-....1989------- — ---- - <br /> EH 23 041 Revised 1/89 <br /> AdminlaVaGan Clinical Services <br /> 458-3400458.3830 Environmentai Health Publle Health Nursing <br /> 468-9420 <br /> Aft Pollution 468-388D <br /> Community Smvtcas Laboratory <br /> 468.9470 468.982D WIC <br /> 468-3+460 X68.3280 <br /> AIDS lnfarrWon 488-3820 <br />