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0 i <br />ENVIRONMENTAL ADEPARTMENT <br />SAN JOAQUIN COUNTY <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 <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 <br />LOCATED AT 7373 West Lane, Stockton, CA 95210 <br />(Street Address) (City) <br />HEREBY CalTechEnvironmental Laboratory <br />AUTHORIZE <br />(Laboratory) <br />U1116U11161vil 13111a It •' "Noulu' <br />BUSINESS NAME: Kaiser Permanente <br />(If Applicable) <br />OWNER/OPERATOR: David Catanzarite Assistant Chief Engineer <br />(Please Print) <br />(Owner/Operator <br />ADDRESS: 7373 West Lane <br />(Mailing Address) <br />Stockton, <br />(City) <br />PHONE: ( 209 476-5408 <br />EH 23 046 (Revised 8/1/11) 8 <br />(Title) <br />7, 09/24/2012 <br />(Date) <br />CA 95210 <br />(State) (Zip Code) <br />