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BOARD of rRUSTF-E8 SAID JOAQUIN LOCAL HEALTH DISTRICT SERVING <br /> At Crow,Pres, <br /> Earl Pimentek Vice arca 1601 East Hazellon Avenue San Joaqu.a County <br /> Tommy Joyce.Secy, Stockton,Californla 95205 Clty of Manteca <br /> James F.Culbertson City of Escalon <br /> John D.Maar,M.D. JOGI KHAHNA, M.D., lA. llDISTRICT' HEALTH OFFICER C4 of Lcd] <br /> "I grill;Mav ws City of Tracy <br /> -nomas Schubert D.Y.M. ENVIRONMENTAL HEALTH DIVISION Cir;of Ripon <br /> Daphne Show San Joaquin County <br /> Nn09) 4613-3420 Ci of Stockton <br /> nroy Williams,4vlilfamaPh.D. fl' <br /> AU_rHOR 1 ZA'T I ON T© Feel. :AS1= San Joaquin County <br /> te- ANALYTICAL RESULTS <br /> E'e <br /> - - GEOTECHNICAL DATA <br /> 4+ ENVIRONMENTAL/SITE ASSESSMENT INFORMATION <br /> I, THE UNDERSIGNED OWNER AND/OR OPERATOR OF THE PROPERTY ANO/OR FACILITY <br /> LOCATED AT-- 1711 Rest Yosemite Avenue Manteca <br /> (SIRdd1 AlFDRESS) (City) <br /> HEREBY AUTHORIZE- Annl_ied GeoSystems <br /> (IRdO�RIQRy ar CONStlIIANI) <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 /> -73 ME OR MY REPRESENTATIVE. <br /> BUSINESS NAME: ARCO Products Company <br /> (!f AfPIlCABidJ <br /> OWNER/OPERATOR: Kyle Christie Environmental Engineer <br /> _, {flE6Sd PAIMT) fT11LE) - <br /> G <br /> (srssatlrAF) <br /> — ADDRESS: P.O. Box 58T] <br /> (dAIIIBG ArlC.fESSJ <br /> San Mateo, CA 94402 <br /> (011) (STATE) (IU) <br /> PHONE: ( 415 ) 5710434 <br /> DATE: <br /> EH 23 041 Revised 1/89 <br /> Adminietratfon Clinlcaf Services EnWonment3l Health Public:Health Nursing <br /> 468-3400 468-3830 468.3420 468.3860 <br /> Aly Pollution Community Sar aces Laboratory %MC <br /> 4684470 468.9820 468-3460 469.3280 <br /> AIDS fnformatlon 468-3820 <br /> y ., <br />