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SA N J O A Q U I N Environmental Health Department <br /> ---COUNTY - Costco Fuel Facility#1091 /Our Job No. 14573,11 <br /> AUTHORIZATION TO RELEASE ANALYTICAL INFORMATION <br /> TO SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH <br /> All analytical results for tank, piping, dispenser, and stockpile sampling shall be sent directly to the San <br /> Joaquin County Environmental Health Department (EHD) underground storage tank program email <br /> address (ust(a sigov.org). Only results that are sent directly to EHD from a third-party California <br /> accredited environmental laboratory, with an affixed chain of custody, will be accepted. Analytical <br /> results must be submitted within 30 days after the tank closure date. <br /> OWNER/OPERATOR INFORMATION <br /> OWNER/OPERATOR NAME: Alexia Inlgues TITLE: Manager,Authorized Agent <br /> First Last <br /> BUSINESS NAME: CoreStates Inc. (AKA Barghausen) <br /> EMAILADDRESS: costco@barghausen.com PHONE: (425) 251-6222 <br /> I, the undersigned owner and/or operator of the property and/or facility located at <br /> 2680 Reynolds Ranch Parkway, Lodi <br /> Facility Street Address&City <br /> hereby authorize the following laboratory <br /> California Laboratory Services ELAP# 1233 <br /> ELAP Certified Laboratory Name <br /> 3249 Fitzgerald Road, Ranch Cordova, CA 95742 <br /> ELAP Certified Laboratory Address <br /> to release any and all analytical information directly to the 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 representative. <br /> This authorization includes analytical results and information, geotechnical data, and <br /> environmental/site assessment information. <br /> OWNER/OPERATOR SIGNATURE: I DATE: April 14, 2026 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sigov.org/ehd <br />