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SERVICE REQUEST Facility ID Facility Name Record ID 017007 Location 2725 cc CLUB, STKN eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee Property Owner SOUTHLAND CORP Business Name "711" STORE #14117, BOB DeNINNO Street Number Dir Street Name Type Unit PO BOX 711 2nd Address City DALLAS, State TX Zip 75221-0711 Phone 1 503-977-7713 Ext APN Phone 2 425-235-2259 Ext Census 000001 District 002 Location 01 Citycode Requestor FLOUR-DANIEL-GTI Business Name VIRONEX, C-57 #705927 Address 1 757 ARNOLD DR. , STE D Address 2 23762 FOLEY ST, STE 7 City HAYWARD State CA Zip 94545- Phone Number 510-266-0966 Ext Nature of Service Request - ON SITE GEOPROBE/HYDROPUNCH (10) FOR UST /LOP INVESTIGATION PER APPROVED LOP-INFURNA WORKPLAN. CONCURRENT WITH OFFSITE TO THE SERVICE REQUEST .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee Comments - NORTH IN APT PARKING LOT UNDER APPROVED ACCESS AGREEMENT WITH OWNER AND 11711" . APT MGR SUBMITTED THE TWO CHECKS FOR THIS PERMIT AND SR#017006 . DELTA PROP ADMN-TRUST II CHECK# 2373 & 2374 USED. Name Date Time Received By 0684 INFURNA, MICHAE 09/25/98 Assigned To 0684 INFURNA, MICHAE 09/28/98 Date Service Completed _/_/_ Requires Further Action Y/N Y Amount paid 89 . 00 Program/Element 3501 Due date Oaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa� ° This record was entered on 09/28/98 By STAFF ° ° This record was last updated on 09/29/98 By STAFF aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaai