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FIELD DOCUMENTS FILE 1
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3500 - Local Oversight Program
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PR0544596
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FIELD DOCUMENTS FILE 1
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Last modified
6/24/2019 1:57:39 PM
Creation date
6/24/2019 11:36:21 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
FileName_PostFix
FILE 1
RECORD_ID
PR0544596
PE
3528
FACILITY_ID
FA0002064
FACILITY_NAME
7-ELEVEN INC. STORE #14117
STREET_NUMBER
2725
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
CURRENT_STATUS
02
SITE_LOCATION
2725 COUNTRY CLUB BLVD
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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[� Stantec Consulting Services Inc. <br /> 3017 Kilgore Road Suite 100 <br /> Ran <br /> 1 Rancho Cordova CA 95670 <br /> Tel:(916)861-0400 <br /> Fax:(916)861-0430 <br /> Stantec <br /> June 5, 2013 <br /> File: 185750063.200.0300 <br /> Ms. Lisa Medina <br /> San Joaquin County ��� � <br /> Environmental Health Department <br /> 1868 Hazelton Avenue <br /> Stockton, CA 95205-6232 JUN 6 Z0�3 <br /> RE: Well Destruction Permit Application ENiPi9NMENTALHEkTH <br /> Associated with the UST Removal Activities at VirES <br /> 7-Eleven Store #14117 <br /> 2725 Country Club Road <br /> Stockton, CA <br /> Dear Ms. Medina: <br /> This application package has been prepared by Stantec Consulting Services Inc. (Stantec) on <br /> behalf of 7-Eleven Inc. for the destruction of one onsite groundwater monitoring well (MW-2) at <br /> the 7-Eleven Store #14117 located at 2725 County Club Boulevard in Stockton, California. <br /> MW-2 is located in the center of the underground storage tank (UST) pit, between the two USTs <br /> (see attached Figure 2). Due to a tank failure, 7-Eleven has scheduled the USTs at this location <br /> to be removed on June 17, 2013. <br /> Since time is of the essence for this scope of work, and in anticipation of approval of the well <br /> destruction scope of work submitted to you via email by Ms. Amanda Magee of Stantec on June <br /> 3, 2013, we have enclosed the following documents for your review and approval: <br /> Stantec check #1554 for $500.00 ($125 permit fee + 3 hrs x $125 inspection fee = $500) <br /> Figures 1 and 2 <br /> Table 1 Well Construction Details <br /> MW-2 Drill Log <br /> Application Form <br /> Limited Authorizations <br /> If you have questions or need any additional information please contact me at (916) 384-0724. <br /> Sincerely, <br /> Stantec Consulting Services Inc. <br /> Prepared By: <br /> ebbie Lichtenb ger <br /> Environmental Technician <br /> ATTACHMENTS <br /> I <br /> I <br />
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