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2900 - Site Mitigation Program
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PR0530063
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
2/6/2019 3:55:34 PM
Creation date
2/6/2019 3:42:59 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0530063
PE
2957
FACILITY_ID
FA0019769
FACILITY_NAME
FORMER SHELL GAS STATION
STREET_NUMBER
3011
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95219
APN
10018010
CURRENT_STATUS
01
SITE_LOCATION
3011 W BENJAMIN HOLT DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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06/05/2009 06:35 209-949-71@ CALTRANS D10 PERM PAGE 01/01 <br /> STATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATION Collected By Permit No.(Original) <br /> ENCROACHMENT PERMIT RIDER E. Tari 10-03-6-sv-0235 <br /> TR-0122(REV.611999) <br /> Rider Fee Paid DisUColRtc/PM <br /> $ EXEMPT 10-SJ-5 PM 31.51 <br /> Date Rider Number <br /> 06/04/2009 10-09-N-RS-0326 <br /> TO: CAMBRIA ENVIRONMENTAL TECHNOLOGY, INC. <br /> CONESTOGA-ROVERS ASSOCIATES <br /> 19449 RIVERSIDE DRIVE, SUITE 230 <br /> SONOMA, CA 95476 <br /> Attne JOE NEELY - <br /> (707) 935-4050 <br /> , PERMITTEE <br /> In compliance with our,etw request of May 29• 2009 w <br /> P (Y ) eq a are hereby amending the above numbered <br /> encroachment permit as follows: DATE <br /> Data of completion extended to: NO CHANGE ® December 31, 2009 <br /> DATE <br /> This Rider has been issued for time extension for the completion to abandon the groundwater monitoring <br /> well. <br /> Upon the completion of groundwater monitoring, the well will be abandoned by pressure grouting with near <br /> cement to the ground surface. The well drilling and installation may be conducted at night to reduce thr <br /> impact of traffic. A copy of this permit shall be placed in the vehicles involved in doing this work. <br /> Permittee shall notify the State representative in, the area before doing any work under this permit. <br /> Except as amended all other terms and provisions of the original permit shall remain in offact. <br /> COPIES TO: APPROVED: <br /> Original-Permidee <br /> 2-Joseph <br /> 1-Maintenance Tony Tavares (Interim) .District Dirado <br /> 1-2elis Nogueira BY. ,/�/ <br /> 1-file (/R/ <br /> elson MagsayoDistrict Permit Engines <br /> FM 91 1437(010 Permit App) <br />
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