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SAN J O A Q U ! N Environmental Health Department <br /> C 1.j ; T 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 /> 3425 Tracy Blvd., Tracy CA 95376 <br /> (Street Address) (City) <br /> HEREBY AUTHORIZE <br /> Eurofins Calscience, 2841 Dow Ave, Suite 100, Tustin, CA 92780 <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 /> BP Arco AM/PM #2093 <br /> (7f Applicable) <br /> OWNER: BPP ducts North America Inc. r [� - aj /to h h�j � � <br /> (Please Print) (Title) v <br /> (Owner Signature) (Date) <br /> ADDRESS : <br /> 30 S Wacker Dr, 8&363 <br /> (Mailing Address) <br /> Chicago IL 60606 <br /> (City) (State) (Zip Code) <br /> ( 0OT 7) izlJ 6J j :7 PHONE : <br /> RECEIVED <br /> MAR 0 2 2023 <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> 6 of 6 <br />