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FIELD DOCUMENTS
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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DA VINCI
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4627
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2900 - Site Mitigation Program
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PR0543804
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Last modified
6/28/2019 2:04:14 PM
Creation date
6/28/2019 1:20:01 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0543804
PE
2950
FACILITY_ID
FA0024907
FACILITY_NAME
7-ELEVEN STORE #20632
STREET_NUMBER
4627
STREET_NAME
DA VINCI
STREET_TYPE
DR
City
STOCKTON
Zip
95207
CURRENT_STATUS
01
SITE_LOCATION
4627 DA VINCI DR
P_LOCATION
01
QC Status
Approved
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EHD - Public
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' I <br /> yy <br /> ATTACHMMNT I <br /> i <br /> Such permits, reports, applications and other documentation issued by any federal, state <br /> or local governmental authority and such other standard form documentationY i rovided b 7- <br /> P <br /> Eleven or third parties to be completed in connection with Agent's performance of <br /> environmental consulting services pursuant to the Agreement, including, without limitation, the <br /> following: <br /> T a. Waste Manifests; <br /> b. Waste Characterization Forms; <br /> C. -Bills of Lading; <br /> d. Waste Disposal Agreements; <br /> e. Registration and Notification Forms for underground storage tanks; <br /> f=- Incident Reports; <br /> Dischargeā¢Notification-Forms; <br /> h - <br /> --Tank Closure Reports; - <br /> Y Permit Applications, Notices-and other documents relating to the investigation, <br /> r _ monitoring or remediation work performed under the Agreement; " <br /> j. Reports to state environmental agencies regarding investigation, monitoring or <br /> remediation work performed under the Agreement; and <br /> k. Applications to any state underground storage tank insurance or.reimbursement <br /> fund; <br /> Provided,however, that in each case, the foregoing authorization shall not extend to any permits, <br /> reports, applications or other documentation that contain: (i)any language, the effect of which is <br /> to require 7-Eleven to indemnify, defend and/or hold harmless any third party for any act or <br /> omission of any kind; or (ii) any statement of any kind, including, without limitation, any <br /> representation or warranty, which Agent does not personally know to be true and correct, <br /> including, without limitation, any representation concerning the legal existence or financial <br /> condition of 7-Eleven. <br /> I <br /> I <br /> I <br /> LIMITED AUTHORIZATION Attachment I <br /> 991578.1/SPA/76088/0396/011012 <br />
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