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3500 - Local Oversight Program
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PR0544300
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
4/2/2019 4:12:50 PM
Creation date
4/2/2019 3:23:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0544300
PE
3528
FACILITY_ID
FA0003855
FACILITY_NAME
TESORO (SHELL) 68153
STREET_NUMBER
2448
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
05814001
CURRENT_STATUS
02
SITE_LOCATION
2448 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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4 <br /> RECEIPT AND REL EASE <br /> , 19 <br /> Kayo„ oil C upany <br /> ECEIVED_frorh the sum of <br /> DOLLARS ($ <br /> w ch l!we acknowledge to be in full settlement and dischargeof all claims growing out of property <br /> damage sustained by me/us and, in consideration of sa d sum, hereby remise, release, and forever <br /> discharge. raid company, its successors and assigns, fr m any and all actions, causes of actions, <br /> claims and demands for, upon, or by reason of any damage or loss which heretofore has been or <br /> which hereafter may be sustained-by, me/us i _ onsequ nce of : drilling, installing, <br /> on <br /> and mitor' t4�i tMAI-Enz-� <br /> not to exceed100 feet in d_ <br /> With a valve box to be. installed beneath surface on the following <br /> described property, to wit: � <br /> J <br /> Kayo il.Company,, its agents, contractors assi ees shall have the right <br /> of ingress and egress on said property to' Lnspect, monitor, take samples <br /> frotn,``. repair, and abandon said well and vaLve box frm time to time. as may _ ~' <br /> --be necessary or convenient. <br /> WITNESS the execution hereof he day a d year first hereinabove written. / a` <br /> :,� . ... <br /> Za- <br /> Witness' ` n ' <br /> Address` 7-),14 <br /> Witness <br /> Address <br /> Tract No. 1 <br /> ` Check No. T4 v S . <br /> C We _,,j; �1�G. <br /> 7-M S. <br />
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