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ENV <br /> AL HEALTH DEPARTMENT <br /> 1 <br /> SACT JOA UIQ COUNTY <br /> Telt!Aon :(209)468-3420 Fp,)(.-(209)468-3433 <br /> AUTHORIZATION TO RELEASE <br /> .ANALYTICAL RESULTS <br /> *QEOT.ECHNICAL DATA <br /> * ENMONMENTAL/SITE.ASSESSMENT'INFORMATION <br /> I,fiH 'CJITI)ERSIGNEll <br /> OWNER AND/OR WERATOR Of THETR©PERTY AND/OIC FACILITY <br /> Union Pacific Railroad <br /> LOCATEDAT 833 E :Eiglithf Street: Stockton. <br /> (Street Address) (City) <br /> HEREBY <br /> AUTHORIZE Test America: <br /> '(Laboratory) <br /> TO RELEASE ANY AND ALL ANALYTICAL INFORMATION TO SAN JOAQ COUNTY <br /> tNVIRONMENTAL HEALT11DEPARTMENT AS SOON AS IT 19 AVAILABLE AND AT THE SAME <br /> TIME IT IS PROVIDED TO ME OR MY REPRESENTATIVE. <br /> BUSINESS NAME: 1lnion Pacific: ka lroacl - Stockton Yard <br /> (IfApplicaale) <br /> OlyNWOPERATOR. .Union. Pdtlf d.Rail.-road-3• m Diel Manager of Site Beme43.a,1 ion <br /> (Please Mjio (Title) <br /> tiYne"r10p't ratbr Stgnq tire) (Da(e) <br /> ADDRESS.; . 1400 Douglas Street,, Itm 1010 <br /> (Matting Address) <br /> dmaba NE 181.7% <br /> (00 (State) (Zip Cade) <br /> IsHQNE 1 910, 7.89-5184 <br /> E1421046 046 (Revised f OO/12) 8. <br />