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SANJ O A Q U I N Environmental Health Department <br /> - - C 0UNT" Y - - - <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 /> 1553 Colony Road Ripon , CA 95336 Ripon <br /> (Street Address) (City) <br /> HEREBY AUTHOff E <br /> Babcock Laboratories , Inc . 6100 Quai Valley Ct . Riverside Ca . <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 /> Love's Travel Stop # 223 <br /> (If Applicable) <br /> OWNER: Jesse Diaz for Love's Environmental Manager for Love's Inc. <br /> (Please Print) (Title) <br /> e4 7/22/2021 <br /> (Owner Si ture) (Date) <br /> ADDRESS : <br /> P.O. Box 26210 Oklahoma City OK 73126 <br /> (Mailing Address) <br /> (City) (State) (Zip Code) <br /> PHONE: <br /> 405-687-1060 <br /> 6of6 <br />