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SERVICE REQUEST <br /> Facility ID Facility Name <br /> Record ID 021094 Location 290 N. MAIN ST. , MANTECA <br /> 66'(§6 6 6(§(§ &&e&&&&6(§ 8(§888&6 6 8 8&§(§8 8 8 8(§8 8&§8 6 8&8 8 8 8&§&61,§8,§6 8,§8 8,§6 8 8 8 8 8&§&§m <br /> Property Owner CARDOZA ENTERPRISES <br /> Business Name SUPER STOP MARKET & GAS STATION <br /> Street Number Dir Street Name Type Unit <br /> 290 N MAIN ST <br /> 2nd Address ED CARDOZA, PO BOX 1022 <br /> 1 City MANTECA State CA zip 95336- <br /> Phone 1 209-239-4141 Ext APN 223-091-01 <br /> Phone 2 209-386-6115 Ext <br /> Census 000001 District 005 Location 07 Citycode <br /> Requestor JODY VICKERY, TRES FOR <br /> Business Name V & W DRILLING, C-57#720904 <br /> Address 1 PO BOX 51 <br /> Address 2 <br /> City RIO VISTA State CA zip 94571- <br /> .Phone Number 707-374-2815 Ext <br /> Nature of Service Request - <br /> ON SITE WELL PERMIT FOR FIRST THREE (3) MONITORING WELLS UNDER A <br /> WORKPLAN DATED OCT 18 , 1999 AS APPROVED BY LOP-INFURNA. GEOLOGI <br /> SERVICE REQUEST <br /> eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee <br /> Comments <br /> CAL TECHNICS CHECK #10766 ($89) FOR THIS SR. <br /> Name Date Time <br /> Received' By 0684 INFURNA, MICHAE 11/02/99 <br /> Assigned To 0684 INFURNA, MICHAE 11/08/99 <br /> Date Service Completed Requires Further Action Y/N Y <br /> Amount paid 89 . 00 Program/Element 3501 <br /> Due , date <br /> • This record was entered on 11/08/99 By STAFF 0 <br /> • This record was last updated on 11/08/99 By. STAFF 0 <br />