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3500 - Local Oversight Program
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PR0545638
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Last modified
5/5/2020 11:18:58 AM
Creation date
5/5/2020 10:55:47 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0545638
PE
3528
FACILITY_ID
FA0005998
FACILITY_NAME
UNION OIL SS#2859
STREET_NUMBER
1665
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95204
APN
13702031
CURRENT_STATUS
02
SITE_LOCATION
1665 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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Well Drillers Authorization Letter <br /> Site Name: Former Unocal #2859 <br /> Site Address: 1665 Pacific Ave. <br /> City: Stockton <br /> Well Driller Woodward Drilling Co. Inc <br /> Drillers Address P.O. Box 336 <br /> City, State, Zip Rio Vista, CA 94571 <br /> Drillers Phone # (707) 374 — 4300 <br /> C-57 License # 710079 Exp. Date 7/31/2003 <br /> For the sole purpose of procuring permits for drilling, well construction, and well <br /> destruction's, 1 hereby designate the following entities to act as our authorized <br /> representative. <br /> Name: Dave Herzog <br /> Company: Gettler Ryan <br /> City, State, Zip: Rancho Cordova, CA <br /> I understand that as the applicant for permits, I am responsible for compliance <br /> with all provisions of the permits. I also understand that upon written notification, <br /> that I may rescind this Authorization. <br /> Signed: <br /> Printed: Erik Forsstrom <br /> Date; 2-13-02 <br />
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