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SERVICE REQUEST <br /> Fac'ility ID — Facility Name TKN <br /> 016479 Location 212 INDUSTRIAL, S <br /> Record ID <br /> Property owner DOUG REYNOLDS <br /> Business Name H & H ENGINEERING RR CONTRCTRS Type Unit <br /> Street Number Dir Street Name DR <br /> 212 INDUSTRIAL — <br /> 2nd Address <br /> City STOCKTON State CA zip 95206- <br /> Phone 1 209-983-0708 Ext APN 117-280-19 <br /> Phone 2 - - Ext <br /> — <br /> Census 000001 District 002 Locatio n 01 Citycode <br /> Requestor BRUCE MYERS, RG FOR KRAZAN <br /> Business Name KRAZAN DRILL, C-57 #499908 <br /> Address 1 215 W. DAKOTA <br /> Address 2 <br /> City CLOVIS state CA zip 93612- <br /> Phone Number 209-348-2200 Ext <br /> Nature of Service Request <br /> ONSITE BORING PERMIT FOR LOP/UST INVESTIGATION UNDER APPROVED <br /> LOP WORKPLAN FOR PHASE I GEO-PROBES AND PHASE II MONITORING <br /> SERVICE REQUEST <br /> Comments - <br /> WELL INSTALLATION. KRAZAN CHECK #48940 FOR THIS SR. . . <br /> Name Date Time <br /> Received By 0684 !NFURNA, MICHAE 06/15/98 <br /> Assigned To 0684 INFURNA, MICHAE 08/04/98 <br /> 'Date Service Completed Requires Further Action YIN Y <br /> Amount paid 89 . 00 Program/Element 3501 <br /> Due date <br /> 6&AddAAAgaddddddddddddddA-a-a-aa-a-a-a-a-a-a-a-a-a-a-a-a-da-a-a-a-a- -a-aa-a-a- -a-a-a- - - - - - - - - - - ddd� <br /> aaaaaaaaaaaa <br /> 0 This record was entered on 08/04/98 By STAFF 0 <br /> 0 This record was last updated on 08/04/98 By STAFF <br />