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10ARD OF TRUSTEES <br />Aj Crow, Pros. <br />Earl PlnI Vce Pres, <br />Tommy Joyce, SeCy. <br />James F. Culbertson <br />John C). Mast M 0. <br />Vrginia Mathews <br />Thomas Schubart, OMANI. <br />Daphne Show <br />Harvey wifitems, PhD. <br />0 <br />SAN JOAOUIN LOCAL HEALTH DISTIUCT <br />R <br />JOGI KHANNA, M.D.. M.P.H.. DISTRICT HEALTH OFFICER <br />ENVIRONMENTAL HEALTH DIVISION <br />(27,o,3) 468-34"20 <br />-t+ ANALYTICAL RESULTS <br />-m- <br />ENV TRONMENTAL!SITE ASSESSMENT INFORMATION <br />SERVING <br />San Joaquin County <br />City of Manteca <br />City of Escalon <br />City of Lodi <br />City of Tracy <br />City of Ripon <br />San Joaquin County <br />City of Stockton <br />San Joaquin County <br />It, THE UNDERSIGNED OWNER AND/OR OPERATOR OF THE PROPERTY AND/OR FACILITY <br />LOCATED AT- 351 N. Beckman 111�oad, L.odi,-CA <br />(STREET AplikESS) TTY) <br />HEREBY AUTHORIZE FGL Environmental, 2500 Stagecoach Road, Stockton, CA <br />(LABORAITORY ®r CONSULTANT) <br />TO RELEASE ANY AND ALL ANIALYTICAt- RESULTS, GEOTECHNICAL DATA ANWOR <br />TO ME CR MY kEPRESENTATIVE. <br />JIM THORPE UIL, INC. <br />BUSINESS NAME-. <br />if APPLICASILD <br />'OWNER/OPERATOR: 7an.ra Uhlorpe Serretary-Treasurer <br />(PIL0 SE P9 IND 0171) <br />ADDRESS: P, 0, r3ox 357 <br />C A 015241 -035i_ 035 <br />—{CTr T) <br />PHONE: ( 2`09 ) 368-617_`) I <br />DATE: December 28, 19F,9 <br />EH 23 041 Revised 1/89 <br />Administration <br />468 - <br />Air Pollution <br />468-3470 <br />Clinical Services Environmental Health <br />468-3830 468-3420 <br />Ccimmunity Services Laboratory <br />463-382,) 468-3460 <br />MD&Mformatlon 468-3820 <br />Public Health Nursing <br />468-38W <br />WIC <br />468-3280 <br />