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SAN10 A Q U I N Environmental Health Department <br /> COUi'�\JTY <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 /> 4501 North Pershing Avenue Stockton <br /> (Street Address) (City) <br /> HEREBY AUTHORIZE <br /> Pace Analytical <br /> (Laboratory) <br /> TO RELEASE ANY AND ALL ANALYTICAL INFORMATION TO SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT AS SOON AS IT IS AVAILABLE AND AT THE <br /> SAME TIME IT IS PROVIDED TO ME OR MY REPRESENTATIVE. <br /> BUSINESS NAME : 7=Eleven Store No . 17334 <br /> (If Applicable) <br /> OWNER/OPERATOR: 7-Eleven, Inc . c/o Paula Sime, Manager, Environmental Services <br /> Please Print) (Title) <br /> 9/27/22 <br /> (Owner/Operator Signature) (Date) <br /> ADDRESS : 7-Eleven Inc. PO Box 1026 <br /> (Mailing Address) <br /> Temecula California 92593 <br /> (City) (State) (Zip Code) <br /> PHONE : ( 951 395 -2710 <br /> 8of10 <br />