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ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY <br /> Telephone: (209)468-3420 Fax: (209) 468-3433 <br /> AUTHORIZATION TO RELEASE <br /> *ANALYTICAL RESULTS <br /> *GEOTECHNICAL DATA <br /> * ENVIRONMENTAL/SITE ASSESSMENT INFORMATION <br /> 1,THE UNDERSIGNED OWNER AND/OR OPERATOR OF THE PROPERTY AND/OR FACILITY LOCATED AT <br /> 25775 Patterson Pass Road,Tracy,CA 95377 <br /> (Sheet Address) (City) <br /> HEREBY AUTHORIZE <br /> McCambell Analytical,Inc. <br /> (Laboratory) <br /> TO RELEASE ANY AND ALL ANALYTICAL INFORMATION TO SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH <br /> DEPARTMENT AS SOON AS IT IS AVAILABLE AND AT THE SAME TIME IT IS PROVIDED TO ME OR MY <br /> REPRESENTATIVE. <br /> BUSINESS NAME: Confidence UST Services,Inc. <br /> (If Applicable) <br /> OWN uglas M Young III,President/Owner <br /> (Please Print) (Title) <br /> 06/07/2017 <br /> (Owner Signature) (Date) <br /> ADDRES : 6250 Meacham Road <br /> (Mailing Address) <br /> Bakersfield,CA 93314 <br /> (City) (Stale) (Zip Code) <br /> PHONE:(661 )631-3870 <br /> R � � �� ED <br /> ;:. Z 5 2018 <br /> ENVIRONMENTAL HEALTH <br /> EH230038(revised 7-26-2016) 6 DEPARTMENT <br />