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PUBLIC HI!ALTH SERVICtS <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DIVISION <br />Karen Furst, M.D., M.P.H., Health Officer <br />304 East Weber Avenue, Third Floor • Stockton, CA 95202 <br />209/468-3420 <br />PROPERTY ACCESS AUTHORIZATION <br />FOR <br />SOLID WASTE FACILITY/DISPOSAL SITE <br />INVESTIGATION AND ASSESSMENT <br />I hereby authorize California Integrated Waste Management Board (CIWMB) staff, their <br />designated contractors and representatives, and other affected State and local authorities access to <br />the property described below for the purpose of conducting a sub -surface site investigation to <br />determine the extent of the buried waste. The site investigation will include sampling the buried <br />waste material to further characterize the chemical and physical properties of the waste. The <br />investigation/sampling is warranted to identify potential hazards to public health and safety and <br />the environment, which may have resulted from previous solid waste disposal operations. This <br />investigation/sampling is being conducted pursuant to Public Resources Code (PRC) sections <br />44100 and 48020-48028, Solid Waste Disposal and Co -disposal Site Cleanup Program. A copy <br />of the site investigation report will be forwarded to you. <br />Waller Property Site <br />22865 South Henry Road (APN 249-060-10) <br />Escalon, Calilfornia 95320 <br />This authorization expires on October 8, 2001 unless extended in writing. <br />I hereby understand that by signing this authorization I am not admitting any liability or <br />responsibility for cleanup of the property. <br />I certify that I am the legal owner or authorized agent of the legal owner of the above property <br />and have authority to grant such access. <br />41 <br />�fr1.-i:J.c.tXZ�C� u -- <br />Name Printed and Signed <br />Date <br />cf\word\waste\.solid waste\cia\propaccessfrm.doc <br />A Division of San Joaquin County Health Care Services <br />