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some <br /> F SERVREQ SERVICE REQUEST <br /> Facility ID Facility Name <br /> Record ID 01364-4 Location offsite for, 3440 E . MAIN, STK <br /> eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee <br /> Property Owner SAFEWAY, INC <br /> Business Name <br /> Street Number Dir Street Name Type Unit <br /> 15350 S SEQUOIA PKWY <br /> 2nd Address ULTRAMAR INC, K. EARNEST, 525 W. 3RD ST <br /> City HANFORD, State CA zip 93230- <br /> Phone 1 415-398-8842 Ext APN 094-030-12 <br /> Phone 2 209-583-5571 Ext <br /> Census 000001 District 002 Location 01 Citycode <br /> Requestor KEN MATIEK, RG FOR HORIZON ENV <br /> Business Name WOODWARD DRILLING, C-57#710079 <br /> Address 1 PO BOX 336 <br /> Address 2 <br /> City RIO VISTA, State CA zip <br /> Phone Number 707-374-4300 Ext <br /> Nature of Service Request - <br /> BORING PERMIT FOR OFFSITE MW PLACEMENT UNDER APPROVED WP/LOP <br /> COCURRENT WITH ONSITE MW, VW, AND AIR SPARGE WELL INSTALLS . CHEC <br /> F=Find E=Enter U=Update D=Delete Page 1 10 : 26 :49a <br /> F SERVREQ SERVICE REQUEST <br /> eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee <br /> Comments - <br /> #1456 (HORIZON) FOR $178 TO COVER THIS PERMIT AND SR 013643 ALSO. <br /> Name Date Time <br /> Received By 0684 INFURNA, MICHAE 09/04/97 <br /> Assigned To 0684 INFURNA, MICHAE 09/12/97 <br /> Date Service Completed Requires Further Action Y/N Y <br /> Amount paid 178 . 00 Program/Element 3501 <br /> Due date <br /> ° This record was entered on 09/15/97 By STAFF <br /> ° This record was last updated on 09/15/97 By STAFF <br /> aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaai <br /> F=Find E=Enter U=Update D=Delete Page 2 10 :26 : 51a <br />