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STATEMENT OF PERMISSION TO CONDUCT <br /> SUBSURFACE INVESTIGATION ON <br /> PRIVATE PROPERTY <br /> To the San roaquin Local Health District (SJLHD), the undersigned declares that he <br /> is the legal owner of the parcel of land located in the southwest corner of the intersection <br /> of Grant Line and Corral Hollow Roads, bounded on the north by Grant Line Road and on <br /> the east by Corral Hollow Road, in Tracy, California, and hereby grants to Western - ° <br /> Geologic Resources, Inc. (WOR), of San Rafael, California,. acting on behalf of Chevron <br /> Pipe Line Company, of Pittsburg,.California,.for a period . stinety (90) calendar days from <br /> the date of this statement, permission to conduct a subsurface investigation, including a soil <br /> vapor survey and installation of monitoring wells on the said parcel. =' <br /> This permission to Conduct the subsurface investigation is revocable at any time <br /> after the 90 days from the date of this statement, and is granted with the understanding <br /> ` that it is required by the SJLH17 in order to issue the necessary permits to WGR to <br /> i conduct the said work, It is further understood by the undersigned, WOR, and Chevron <br /> Pipe Line Company that .the results of the investigation reported to Chevron Pipe Line <br /> Company by WOR, including chemical analytical, geotechnical, and site .assessment data <br /> and information, specific and limited to the said property: will be provided to the <br /> undersigned not later than 120 calendar days from the date of this statement as indicated <br /> below. <br /> Signed <br /> Date <br /> (print name) <br /> t <br /> Title <br /> Address <br /> ihk 4P <br /> 4 Phone <br /> k <br /> p <br /> 1 <br /> A <br />