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3500 - Local Oversight Program
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PR0544482
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Last modified
5/20/2019 4:08:59 PM
Creation date
5/20/2019 3:48:10 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0544482
PE
3528
FACILITY_ID
FA0000556
FACILITY_NAME
CHEROKEE LANE SERVICE STATION*
STREET_NUMBER
900
Direction
S
STREET_NAME
CHEROKEE
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04742007
CURRENT_STATUS
02
SITE_LOCATION
900 S CHEROKEE LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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+1 <br /> RECEIPT AND RELEASE <br /> 7/eL 19 <br /> Ka Oil CarQany <br /> RECEIVED from the sum of <br /> ��.-, o� <br /> DOLLARS ($-, ) <br /> which 1!we acknowledge to be in full settlement and discharge of all claims growing out of property <br /> damage sustained by me/us and, in consideration of said sum, hereby remise, release, and forever <br /> discharge said company, its successors and assigns, rom any and all actions, causes of actions, <br /> claims and demands for, upon, or by reason of an, Image or loss which heretofore has been or <br /> which hereafter maybe sustained by me/us inconsequence of drilling. installing, and <br /> monitoring a well (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: <br /> a portion of the S1&":dz Sec.7 T3N. R7E. <br /> San Joaquin County, California <br /> Kayo Oil Company, its agents, contractors, and assignees shall have the <br /> right of ingress and egress on said property to inspect, monitor, take <br /> samples from, repair, and abandon said well and valve box from time to <br /> time as may be necessary or convenient. This agreement shall be for an <br /> initial term of six months certain from this date and continuing thereafter <br /> until terminated by written notice to: Kayo Oil Company, Kelly Williamson- <br /> Director of Environmental Services1221 East 'lain Street Chattanooga, TV <br /> 3�7r408. du',vOf d/s 1� •s�c�s clic .//1d6� i1//di i��c� y e pit/-�(if <br /> C o/�vsC cl �JY mri%/ i(iG /!J t7�a�/ r.�/i�Y !/ l�)'vO"' .t� "AC'/e'k <br /> %� <br /> WITNESS the execution hereof the day and year first hereinabove written. <br /> Witness <br /> j Bill Gaines <br /> Address <br /> SSI; <br /> Witness <br /> Address <br /> Tract No. <br /> Check No. <br /> Rods <br /> Charge <br /> 7.33 5,7.70 <br />
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