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2900 - Site Mitigation Program
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PR0009063
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Last modified
5/2/2019 1:27:56 PM
Creation date
5/2/2019 1:21:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0009063
PE
2960
FACILITY_ID
FA0003785
FACILITY_NAME
PACIFIC TRIPLE E LTD
STREET_NUMBER
8690
Direction
W
STREET_NAME
LINNE
STREET_TYPE
RD
City
TRACY
Zip
95304
APN
253-210-180-00
CURRENT_STATUS
01
SITE_LOCATION
8690 W LINNE RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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CONDOR Fax:2095320773 Apr 22 "'2 1626 P.03 <br /> AUTHORIZATION TO ACCESS PROPERTY <br /> TO PERFORM WELL CLOSURE ACTIVITIESS <br /> RECITALS <br /> 1, __._ ._ (hereinafter referred to as OV6WER)warrants <br /> that he/she/they are the legal owner of the real property[and improvements thereto]located at Linne Road,MacArthur Drive <br /> and Fair Oaks Road referenced as Castello Estates Subdivision,Unit 1 and Unit 2,Tract Nos.2927 and 3124 Subdivisions of <br /> San Joaquin County,California(hereinafter referred to as"the site"). <br /> 2. Triple E Produce(hereinafter refereed to as RESPONSIBLE PARTY)has retained Clark Well Drilling(hereinafter referred <br /> to as CONTRACTOR) to perform well closure activities at the site and the services involved include injection of cement <br /> grout and use of underground explosives. Because CONTRACTOR may rely on subcontractors to perform a portion of the <br /> work, all references to CONTRACTOR herein shall be understood also to include any subcontractors CONTRACTOR may <br /> retain for this work. <br /> 3. OWNER acknowledges that OWNER has executed an agreement with RESPONSIBLE PARTY authorizing performance of <br /> the well closure activities on the site. <br /> TERMS AND CONDITIONS <br /> OWNER authorizes CONTRACTOR to enter upon the site and there to perform well closure activities and allow San <br /> Joaquin County representative to visit the site to perform inspection services. <br /> AGREED TO AND ACCEPTED BY: <br /> RESPONSIBLE PARTY OWNER <br /> Trinla F.Procluc'e — <br /> Firm Firm <br /> By By <br /> Title Title <br /> Date Date <br />
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