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ARCHIVED REPORTS XR0012563
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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DR MARTIN LUTHER KING JR
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620
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3500 - Local Oversight Program
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PR0544216
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ARCHIVED REPORTS XR0012563
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Last modified
3/5/2019 1:33:30 AM
Creation date
3/4/2019 2:42:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012563
RECORD_ID
PR0544216
PE
3528
FACILITY_ID
FA0003738
FACILITY_NAME
CHARTER WAY SHELL*
STREET_NUMBER
620
Direction
W
STREET_NAME
DR MARTIN LUTHER KING JR
STREET_TYPE
BLVD
City
Stockton
Zip
95206
APN
16504007
CURRENT_STATUS
02
SITE_LOCATION
620 W DR MARTIN LUTHER KING JR BLVD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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M—o'-v <br /> 4wef,,' ij, s,� <br /> 4�1- <br /> { ATE1 <br /> g• <br /> City Council <br /> C/O City Clerk <br /> City of Stockton <br /> City Nall ' <br /> Stockton, CA <br /> REVOCABLE PERMIT APPLICATION <br /> I/we do hereby request that this letter serve as an application <br /> for a Revocable Permit for the following: <br /> Delta Environmental Consultants,lut,(Delta),is submitting this revocable permit application Ict[cr and <br /> accompanying figures to obtain,an encroachm:nt permit on city right-of-way adjacent to the referenced <br /> site. pelta proposes to install one ground water monitoring Well(MW-11)on the sidewalk of Harrison <br /> Sheet pear West Charter Wav as shown on the a+•closed site vicinity map. This monitoring well has <br /> been proposed for installation 4s hart of a subsurfat:e investigation requested by the California Regional <br /> Water Quality Control Board, Central Valley Region. This investigation is being conducted to <br /> determine the presence or absence of gasoline eonstit_.:nts in the vicinity of a service station facility <br /> located at 620 West Charter Way,Stockton,California. <br /> The scope of the proposed work involves drilling one 10-inch-diamelcr hole to a depth of approximately <br /> �- 40 feet,utilizing a truck-mounted drill rig. The drill rig measures approximately 25 feet long and 8 feet <br /> wide. The well would be constructed in one day,with a design similar to the one shown on the enclosed <br /> monitoring well construction diagram, The well will be finished with an i;tternal locking cover Lnd a <br /> traffic-rated external circular protection cover,approximately I foot in diameter,:hat is flush with the <br /> ground surface. Upon completion of the well,the soil and ground water generated dr ring construction <br /> will be removed, and the surface returned as close as is reascaably possible to its present state. <br /> Necessary traffic signs and cones will he used to divert and/or direct traffic. <br /> The undersigned has received a copy of and fully understands the <br /> Standard Conditions governing ::he issuance of a Revocable Permit. <br /> It is further understood that all changes applicable to the <br /> preparation and issuanco of the permit will be paid for by the <br /> undersigned, <br />
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