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2900 - Site Mitigation Program
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PR0540667
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Last modified
2/8/2019 8:34:05 AM
Creation date
2/7/2019 5:05:46 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0540667
PE
2960
FACILITY_ID
FA0023252
FACILITY_NAME
WELDON CHURCH PROPERTY
STREET_NUMBER
104
Direction
W
STREET_NAME
BEVERLY
STREET_TYPE
PL
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
104 W BEVERLY PL
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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ACCESS AGREEMENT <br /> Well Destruction <br /> 110 West Beverly Place, Tracy, California, 95376 <br /> (APN: 233-153-12) <br /> I, Mark Church, the property owner of parcel 233-153-12, do hereby grant permission to <br /> Advanced GeoEnvironmental, Inc. (AGE) on behalf of the responsible party, Weldon <br /> Church, to destroy one (1) groundwater monitoring well under San Joaquin County <br /> Environmental Health Department permit at 110 West Beverly Place, Tracy, California, <br /> 95376. The site under investigation is located adjacent to the above referenced property <br /> at 104 West Beverly Place,Tracy, California.The proposed work is being performed under <br /> the directive of the San Joaquin County Environmental Health Department. The scope of <br /> work will include the following: <br /> • Destruction of one (1), 2-inch diameter groundwater monitoring well. Well MW-5, <br /> will be drilled-out to one foot deeper(14 feet) then the installed total depth utilizing <br /> a track-mounted limited access drilling rig equipped with 8.25-inch diameter <br /> hollow-stem augers. All original well construction materials will be removed ! <br /> (including well casing, screen, filter pack, and annular seal) to ensure that no i <br /> residual contamination is sealed within the abandoned borehole. The remaining <br /> borehole will be backfilled to surface grade with neat cement and covered with <br /> concrete, asphalt, or native material (soil or grass) depending on the surrounding <br /> surface material. <br /> t <br /> • The surface will be returned to the original condition as best as it can. <br /> i <br /> All expenses for the well destructions performed at 110 West Beverly Place, Tracy, <br /> California shall be paid by the responsible party(Weldon Church), and shall be conducted i <br /> under permit and in accordance with local regulations. <br /> Reporting of the proposed work at your property will be forwarded to you the property <br /> owner. <br /> We will provide 48 hours notice prior to the initiation of field activities, which shall be <br /> conducted in a manner to minimize disruption to the property. <br /> I <br /> Mark Church Date <br /> 110 West Beverly Place <br /> Tracy, California, 95376 j <br /> i <br /> i <br /> t <br /> i <br /> i <br />
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