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ENVIRONMENTAL HEALTH DEPARTMENT <br />SAN JOAQUIN COUNTYP ECEIVED <br />Telephone: (209) 468-3420 Fax: (209) 468- 43 <br />AUTHORIZATION TO RELEASE NOV 2 2 2016 <br />* ANALYTICAL RESULTS ENVIRONMENTAL E - R <br />DEPARTMENT <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 8476 E. Kettleman Lane Lodi, CA 95240 <br />(Street Address) (City) <br />HEREBY BSK Associates, 1414 Stanisiaus Street, Fresno, CA Fresno County (559) 497.2888 <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 SAME <br />TIME IT IS PROVIDED TO ME OR MY REPRESENTATIVE. <br />BUSINESS NAME: NIA <br />(If Applicable) <br />O WN ER/OPERATOR: <br />ADDRESS: <br />Lodi, CA 95240 <br />(City) (State) (Zip Code) <br />PHONE: ( 209 ) 639-7012 <br />EH 23 046 (Revised 7/26/2016) <br />Trust <br />