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SAN J 0 A Q U I N Environmental Health Department <br /> C (D U ^-, <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 /> (7.fApplicable) <br /> OWNER: BPP ducts North America Inc. hymCJ ' G, i l_.o%t ; f i`(1 h <br /> (Please Print) (Title) v <br /> (Owner Signature) ate) <br /> ADDRESS : <br /> 30 S Wacker Dr, 8S-363 <br /> (Mailing Address) <br /> Chicago IL 60606 <br /> (City) (State) (Zip Code) <br /> ( FO ) PHONE : <br /> RECEIVED <br /> MAR 0 2 2023 <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> 6of6 <br />