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DocuSign Envelope ID : DDD645D3-2468-4FAE-89D6- 16DDE187787A <br /> J JOAQUIN <br /> ' wylromr meal Health Doo artment: <br /> aC ) J I 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 /> 2440 Daniels Street, Manteca, CA 95336 <br /> (Street A (ldress) (00 ) <br /> HEREBY AUTHORIZE <br /> Pace Analytical <br /> (Lahoratoay) <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 Corporation <br /> (I/'Applicahle) <br /> OWNER : Kim Katz Director of Real Estate Development <br /> (Please Print) (Title) <br /> Eau.� <br /> 12 / 10 / 2019 <br /> (Own <br /> er Signatw •e) (Date) <br /> ADDRESS : <br /> c/o Barghausen Consulting Engineers , Inc . 18215 72nd Avenue South <br /> (Mailing Adrh•ess) <br /> Kent Washington 98032 <br /> (City) (Stale) (Zip Corle) <br /> PHONE : <br /> ( 425 313 - 3100 <br /> fiof6 <br />