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FIELD DOCUMENTS_FILE 2
EnvironmentalHealth
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3500 - Local Oversight Program
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PR0545028
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FIELD DOCUMENTS_FILE 2
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Last modified
12/6/2019 5:08:09 PM
Creation date
12/6/2019 2:54:13 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
FileName_PostFix
FILE 2
RECORD_ID
PR0545028
PE
3528
FACILITY_ID
FA0003919
FACILITY_NAME
VAN DE POL ENTERPRISES
STREET_NUMBER
5491
STREET_NAME
F
STREET_TYPE
ST
City
BANTA
Zip
95304
CURRENT_STATUS
02
SITE_LOCATION
5491 F ST
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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APEX� � - , _ - <br /> 11244 Pyrites Way• Gold River,CA 95670 <br /> E N V I R 0 T E C H , I,N C . Phone 916.851.0174 • Fax 916.851'0177• Toll Free 1.800.242.5249 <br /> April 18, 2008 \ <br /> San Joaquin County Environmental Health,Department � Qf:WED <br /> 600 East Main Street <br /> Stockton, California 95202 APP 22 2008 <br /> Subject: Drilling Permit Application ` EIVVit° K1ENi HEALTH <br /> Moore Petroleum PERM/SERVICES <br /> 5491 F Street,Banta,California <br /> Apex Project No. ERA02.004' <br /> To Whom It May Concern: . <br /> Apex Envirotech, Inc.-has been authorized by Jerry Moore to submit the following drilling permit <br /> application to install one additional monitoring well northeast of the subj ect site. The well will ' . <br /> be installed as a 2-inch well to a total depth of 20 feet below ground surface. The wellhead will <br /> be secured with a locking, water-tight cap and a flush-mounted,traffic-rated wellhead vault box. <br /> Enclosed please find: <br /> • One completed Permit Application . <br /> • One completed Licensed Contractors Declaration <br /> • Check#36179 for$89.00 payable to San Joaquin County Environmental Health <br /> Department to cover the application fee <br /> • One Proposed Well Location Map <br /> • One Union Pacific Railroad Right.of Entry Agreement <br /> Work will be scheduled upon receipt of permits.,If you have any questions or concerns, please <br /> contact me at 916-851-0174:' <br /> Sincerely, ; <br /> APEX ENVIROTECH, INC: <br /> Christy Black <br /> Project Geologist <br /> cc: File <br />
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