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F SERVREQ SERVICE REQUEST <br /> Facility ID Facility Name <br /> Record ID 013643- Location 3440 E . MAIN, STKN <br /> Property Owner ULTRAMAR INC <br /> Business Name KENNETH EARNEST <br /> Street Number Dir Street Name Type Unit <br /> 525 W THIRD ST <br /> 2nd Address <br /> City HANFORD, State CA zip 93230- <br /> Phone 1 209-583-3271 Ext 0 APN 094-030-12 <br /> Phone 2 - - Ext <br /> Census 000001 District 002 Location 01 Citycode <br /> Requestor KEN MATIEK, RG FOR HORIZON ENV <br /> Business Name WOODWARD DRILL, 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 PRMIT FOR ON SITE MW, VW, AND AIR SPARGE WELL INSTALLS <br /> UNDER APPROVED LOP/INFURNA WORKPLAN. CHECK # 1456 (HORIZON) TO C <br /> F=Find E=Enter U=Update D=Delete Page 1 10 : 31 : 19a <br /> F SERVREQ SERVICE REQUEST <br /> Comments - <br /> COVER THIS PERMIT AND CONCURRENT OFFSITE TO WEST PERMIT SR#013644 . <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 0 <br /> ° This record was last updated on 09/15/97 By STAFF 0 <br /> aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaai <br /> F=Find E=Enter U=Update D=Delete Page 2 10 : 31 :20a <br />