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ENVIRONMENTAL HEALTH DEPARTMENT <br />SAN JOAQUIN COUNTY <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 <br />ALLTHOR ZATION TO <br />*ANALYTICAL RESULTS ' <br />* GEOTECHNICAL DATA <br />ENVIRONMENTAL/SITB ASSESSMENT INFORMATION <br />I, THE UNDERSIGNED OWNER AND/OR OPERATOR OF THE PROPERTY AND/OR FACILITY <br />LOCATEDAT 10858 Trinity Parkway, Stockton (Site #307709) <br />(Street Address), (City) <br />HEREBYAUTHORIZE KIFF ANALYTICAL, 2795 2ND STREET, DAVIS, CA <br />— (Laboratory) <br />TO RELEASE ANY AND ALL ANALYTICAL INFORMATION TO SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH <br />DEPARTMENT AS SOON AS IT IS AVAILABLE AND ATTI E SAME <br />TIME. IT IS PROVIDED TO ME OR MY REPRESENTATIVE. <br />BUSINESS NAME: Chevron USA, Inc. <br />OWNER <br />Darin O'Kelley P&FO Development Lead <br />(Please Print) (Title) <br />(Owner S)lure) (Date) <br />ADDRESS: 6001 Bollinger Cyn <br />(Mailing Address) <br />San Ramon, CA 94583 <br />(City) (State) (Zip Code) <br />PHONE:( ) 925-842-1822 <br />EH 23 046 (Revised 02120/09) <br />5 <br />