Laserfiche WebLink
i <br /> BARD OF TRUSTEES SAN JOAQUIN LOCAL HEALTH DISTti1CT <br /> ,l Crow,Pres. SERVING <br /> Earl Pimentel,Vice Pres. 1601 East Hazelton Avenue San Joaquin County <br /> Tommy Joyce,Sec'yStockton, California 95205 City of Manteca <br /> James F.Culbertsonrtson <br /> City of Escalon <br /> John D.Mast,M.D. JOG[ KHANNA, M.D., M.P.H., DISTRICT HEALTH OFFICER City of Lodi <br /> Virginia Mathews City of Tracy <br /> Thomas Schubert,D.V.M. ENVIRONMENTAL HEALTH DIVISION City of Ripon <br /> Daphne Shaw San Joaquin County <br /> Harvey Williams,Ph.D. (209) 468-3420 City of Stockton <br /> A U T H O R I Z A-r I O H T OR E L E A S E 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/OR FACILITY <br /> LOCATED AT 444 S. Wilson Way Stockton, CA 95201 <br /> (STREET ADDRESS) (CITY) <br /> HEREBY AUTHORIZE Kleinfelder, Inc. <br /> (LABORATORY 0? CONSULTANT) <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 TIME IT IS PROVIDED <br /> TO ME OR MY REPRESENTATIVE. <br /> BUSINESS NAME: San Joaquin County Department of General Services <br /> (If APPLICABLE) <br /> OWNER/OPERATOR: <�— <br /> (PL SE PRIM ITLE) <br /> (SIG RE) <br /> ADDRESS: 222 E. Weber, Room 675 <br /> (NAILING ADDRESS) <br /> Stockton CA 95202 <br /> (CITY) (STATE) (ZIP) <br /> PHONE: ( 209 ) 944-3675 <br /> DATE: <br /> EH 23 041 Revised 1/89 <br /> Administration Clinical Services Environmental Health <br /> Public Health Nursing <br /> 468-3400 468-3830 <br /> 468-3420 468-3860 <br /> Air Pollution Community Services Laboratory <br /> 468-3470 468-3820 WIC <br /> 468-3460 468-3280 <br /> AIDS Information 468-3820 <br />