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DocuSign Envelope ID:57852BDB-FD2B-4170-B5C8-435307C98954 <br /> SAN1 U A Q U l N Environmental Health Department <br /> COU NTY <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 /> 3250 West Grant Line Road, Tracy, CA 95377 <br /> (Street Address) (City) <br /> HEREBY AUTHORIZE <br /> Pace National <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: M. Alexia Inigues, Authorized Agent for Costco Wholesale <br /> (Please Print) (Title) <br /> EZDgcuSi <br /> gnetl by: <br /> � December 3, 2021 <br /> (Owner Signature) (Date) <br /> ADDRESS: <br /> c/o Barghausen Consulting Engineers, Inc., 18215 72nd Avenue South <br /> (Mailing Address) <br /> Kent, WA 98032 <br /> (City) (State) (Zip Code) <br /> PHONE: <br /> ( ) (425) 251-6222 <br /> 6 of 6 <br />