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SITE INFORMATION AND CORRESPONDENCE
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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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RECEIPT AND RELEASE <br /> r / <br /> , 19 y <br /> Kayo'oil CattQany <br /> RE EIVED from the sum of <br /> DOLLARS <br /> wtdch Vwe acknowledge to be in full settlement and dischi irge of all claims growing out of property <br /> damage sustained by me/us and. in consideration of said um, hereby remise, release, and forever <br /> discharge said company, its succanors and assigns, fro any and all actions, caws of actions, <br /> claims and demands for, upon, or by reason of any dam ige or loss which heretofore has been or <br /> which hereafter maybe sustained by me/us i onsequen of . drillingr, in=ning, <br /> Y'h�-cam <br /> and m mutoring ar welly(2" PVC PiPe) not to exceed_100 feet in depth, together <br /> with a valve box to be installed beneath the surface on the following <br /> described property, to wit: =f <br /> t '� <br /> Kayo it Cagan+�, its agents contractors & Mgjees shall have the right <br /> of ingress and egress cn said property to inspect, monitor, take smples LAO <br /> frcttt, repair, and abandon said well and val box fz�tt time to tithe as may <br /> be necessary or convenient. t <br /> WITNESS the execution hereof he day and ear first hereinabove written. <br /> Witness Pal t <br /> Address -- 2=2 ? <br /> Witness _- <br /> Address <br /> Tract No. <br /> Check No., i- �iz.�7 (`lLt j rpt.. T4 <br /> Rods <br /> Citlafge r A.: 1 0 3 i J <br /> 7-33 S.7.79 ,: <br />
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