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1 V <br /> SANJ O A Q U I N Environmental Health Department <br /> AUTHORIZATION TO RELEASE <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 LOCATED AT <br /> 2440 Daniels Street, Manteca, CA 95336 <br /> (Street Address) (City) <br /> HEREBY AUTHORIZE <br /> Pace Analytical <br /> (Laboratory) <br /> TO RFLFASF ANY AND ALL ANALYTICAL INFORMATION TO SAN JOAQUIN COUNTY ENVIRONMENTAL <br /> HEALTH DEPARTMENT AS SOON AS IT IS AVAILABLE.AND AT THF,SAMF,TIME IT IS PROVIDED TO ME OR <br /> MY REPRESENTATIVE. <br /> BUSINESS NAME: <br /> Costco Wholesale Corporation <br /> (11'Applicable) <br /> OWNER: Kim Katz Director of Real Esta t Development <br /> (Please Print) p)rTir( i q <br /> (Owner Signature) (Date) <br /> ADDRESS: <br /> — – -- cdL-Barg <br /> (Mailing A dress) <br /> Kent Washington 98032 <br /> (City) (State) (Zip Code) <br /> PHONE: <br /> 425 313-8100 <br /> 6 of 6 <br />