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GEOCOv • • <br /> • CONSULTANTS,INC: Ilk A <br /> G E O T E C H N I CAL ■ ENVIRONMENTAL ■ M A yyr. <br /> TRANSMITTAL <br /> PERM—-- <br /> TO: San Joaquin County DATE: January 4,2012 <br /> Environmental Health Department Project No. S9482-06-02 <br /> 600 East Main Street Subject: 5400 and 5606 Pacific Ave <br /> Stockton,CA 95202-3029 <br /> ATTN:Mr.Mike hifuma <br /> TRANSNUTTED: <br /> ❑ Per your request ❑ For your review <br /> ® For your approval ❑ For your action <br /> VIA: <br /> ❑ US Mail ❑ Electronic Mail <br /> ® Hand Delivery ❑ Overnight <br /> REMARKS: <br /> Re.5400 and 5606 Pacific Ave <br /> For the upcoming well destruction activities planned for the wells associated with the former Montgomery <br /> Wards, LLC (Wards) auto service center located at 5400 Pacific Avenue and the former Unocal service <br /> station #5098 (Chevron Facility No. 306620), located at 5606 Pacific Avenue in Stockton, California, I <br /> submit the following documents: <br /> • One signed Well and Boring Permit Application including a signed Licensed Contractors Declaration <br /> and a signed Master File Record <br /> • One Well Destruction Workplan Addendum <br /> • One copy of our City of Stockton Encroachment Permit <br /> • One signed Access Agreement and <br /> • Two checks(#72425 and#72485)for the applicable fees <br /> If you have any questions or comments regarding this transmittal, please call me at(916)852-9118. <br /> Sincerely, Copies To: n/a <br /> By: <br /> Josh Ewert <br /> Senior Staff Geologist <br /> 3160 Gold Valley Drive,Suite 800•Rancho Cordova,California 95742■Tel(916)852-9118■Fax(916)852-9132 <br />