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DocuSign Envelope ID:2F173BE3-D39C-47D3-A993-65B9F76377E9 <br /> SANJ n A Q U I N Environmental Health Department <br /> COUNTY— <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 /> 1616 E hammer Lane,Stockton <br /> (Street Address) (City) <br /> HEREBY AUTHORIZE <br /> (Laboratory) <br /> TO RELEASE ANY AND ALL ANALYTICAL INFORMATION TO SAN JOAQUIN COUNTY ENVIRONMENTAL <br /> HEALTH DEPARTMENT AS SOON AS IT IS AVAILABLE AND AT THE SAME TIME IT IS PROVIDED TO ME OR <br /> MY REPRESENTATIVE. <br /> BUSINESS NAME: <br /> Costco Wholesale <br /> (If Applicable) <br /> OWNER: Tim Hurlocker Director of Fuel Quality&Compliance <br /> rrPD1101, <br /> s � east) (Title) <br /> � 2/9/2021 <br /> €fVP9M"Mre) (Date) <br /> ADDRESS: <br /> c/o Barghausen Consulting Engineers, Inc. 18215 72nd Ave.S. <br /> (Mailing Address) <br /> Kent,WA 98032 <br /> (City) (State) (Zip Code) <br /> PHONE: <br /> ( 425 ) 251-6222 <br /> 6 of 6 <br />