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SA N 10 A Q I I 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 /> 3515 Navy Dr Stockton , CA 95203 <br /> (Street Address) (City) <br /> HEREBY AUTHORIZE <br /> Eurofins Calscience Laboratory <br /> (Laboratory) <br /> TO RELEASE ANY AND ALL ANALYTICAL INFORMATION TO SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT AS SOON AS IT IS AVAILABLE AND AT THE <br /> SAME TIME IT IS PROVIDED TO ME OR MY REPRESENTATIVE. <br /> BUSINESS NAME : Shell oil US Stockton Terminal <br /> (If Applicable) <br /> OWNER/OPERATOR: Erica Rodriguez on behalf of Shell , Senior Scientist <br /> (Please Print) (Title) <br /> ua � ,�� <br /> 9 / 29 / 2021 <br /> (Owner/Operator Signature) (Date) <br /> ADDRESS : 3515 Navy Dr . <br /> (Mailing Address) <br /> Stockton CA 95203 <br /> (City) (State) (Zip Code) <br /> PHONE: ( 714 826 - 03652 <br /> i <br /> 8of10 <br />