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SERVICE. REQUEST <br /> Facility ID Facility Name <br /> Record ID 019012 Location 2725 COUNTRY CLUB BLVD, STKN <br /> eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee <br /> Property Owner SOUTHLAND CORPORATION <br /> Business Name SEVEN-ELEVEN STORES ( 117-1111 ) <br /> Street Number- Dir Street Name Type Unit <br /> 2725; COUNTRY CLUB BLVD <br /> 2nd Address RP, 1022.0 SW GREENBURG RD, STE 470'" <br /> City PORTLAND State OR Zip 97233- <br /> Phone 1 425-235-2259 Ext APN <br /> Phone 2 503-977-7713 Ext <br /> Census 000001 District 002 Location 01 Citycode <br /> Requestor CHRIS PRUNER, OPS MGR @ C-57 <br /> Business Name GREGG DRILLLING, C-57#485165 <br /> Address 1 950 HOWE RD <br /> Address 2 <br /> City MARTINEZ; z State CA ,,Zip._,, 9455,3- <br /> Phone Number 925-313-5800 Ext <br /> Nature of Service Request <br /> ONSITE BORING PERMIT FOR -4 MW' S TO -251 BGS UNDERAP"PROV'hD LOP <br /> WORK PLAN, INFURNA. . FLOUR-DANIELS CHECK #1715 FOR THIS SR# . <br /> SERVICE REQUEST <br /> eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee <br /> Comments <br /> ONE MW TO GO THRU CONDUCTOR CASING (1011 ) PLACED IN NEW UST PIT AT NEW U <br /> ST PLACEMENT IN 1998 . <br /> Name. Date Time <br /> Received By 0684 INFURNA, MICHAE 04/16/99 <br /> Assigned To 0684 INFURNA, MICHAE 04/23/99 <br /> Date Service' 'Completed Requires Further Action ' Y/N - Y <br /> Amount paid 89 . 00 Program/Element 3501 <br /> Due date <br /> • This record was entered on 04/23/99 By " <br /> STAFF 0 <br /> • This record was last updated on 04/23/99 By ,-STAFF 0 <br />