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ARCHIVED REPORTS XR0000681
EnvironmentalHealth
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CAPITOL
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6421
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2900 - Site Mitigation Program
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PR0522496
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ARCHIVED REPORTS XR0000681
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Entry Properties
Last modified
2/15/2019 6:59:54 PM
Creation date
2/15/2019 3:57:14 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000681
RECORD_ID
PR0522496
PE
2957
FACILITY_ID
FA0015317
FACILITY_NAME
FLAG CITY CHEVRON
STREET_NUMBER
6421
STREET_NAME
CAPITOL
STREET_TYPE
AVE
City
LODI
Zip
95245
APN
05532024
CURRENT_STATUS
02
SITE_LOCATION
6421 CAPITOL AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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10-22-2801 04 48PM FROM RISHWAIN & RISHWAIN TQ 4671118 P 06 <br /> Mr Richard Bokides -2- <br /> AGREEMENT FOR WATER SERVICE <br /> (ASSESSOR'S PARCEL NO 055-150-25) <br /> 1 7 Extend a water main from the existing main in Capitol Avenue to the south link of <br /> Assessor's Parcel No 055-150-25 The size of the main is to be determined by ithe <br />' Department of Public Works. t <br /> S Obtain an encroachment permit from the County for inspection of the waterline <br />' construction and connection at the existing waterline. <br /> 9 Install the service in conformance with County Improvement Standard No. CW-WS <br />' 10 Install a backflow prevention device in conformance with County Improvement Standard <br /> No CW-W24. <br />' 11 Provide a copy of a certified test of the backflow prevention device prior to use, and <br /> thereafter,provide annual certification of the device <br />' 12 Provide access for County Utility Maintenance personnel to read the water meier <br /> monthly. <br /> 13. Agree to the Rules and Regulations for payment,penalties, and continued service in <br /> conformance with adopted policies for San Joaquin County water service <br /> Sincerely, , <br /> FRANCIS LAU <br />' Senior Civil Engineer <br /> FL tee <br />' PF-11073-Ti <br /> c Scott R.ishwain,Rishwain and Rishwwn <br /> Beverly Beni.gno, Rocky's Restaurant <br />' Gabriel.Karam, Senior Civil Engineer <br /> Property Owners of Assessor's Parcel No 055-150-25,(Rocky's Restaurant)agree to the <br /> conditions noted above. <br /> RICHARD BOKIDES, Property Owner <br /> Boktdes Family Limited Partnerslup <br />
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