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3500 - Local Oversight Program
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PR0545641
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Last modified
5/5/2020 3:03:33 PM
Creation date
5/5/2020 2:09:22 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0545641
PE
3528
FACILITY_ID
FA0002480
FACILITY_NAME
SHOP N GO 3
STREET_NUMBER
4511
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
11023011
CURRENT_STATUS
02
SITE_LOCATION
4511 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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Authorization Statement <br /> Permission is granted to Advanced GeoEnvrionmental, Inc (AGE) acting on behalf <br /> of Art Wyatt,property owner of 4511 Pacific Avenue in Stockton, Ca to install a permanent <br /> monitoring well and sample said wells, and all at locations agreeable to the PROPERTY <br /> OWNER. <br /> This investigation and the installation and sampling of wells will be conducted in <br /> accordance with San Joaquin County regulations in order to collected soil and ground water <br /> samples as part of the investigation of the gasoline and diesel contamination at Arco Mini <br /> Mart, 4511 Pacific Avenue, Stockton, California. <br /> AGE will agree to PROPERTY OWNER designated hours of access, make reasonable <br /> efforts to avoid or minimize interference with or disrupt any business activities at the <br /> PROPERTY OWNER Further AGE will hold general commercial liability insurance to <br /> cover$1,000,000 for damage,personal damage and death; auto; and workman compensation <br /> in accordance with the laws of the State of California. <br /> INDEMNITY <br /> PROPERTY OWNER has no assumed liabilities for any injury or damages that may occur <br /> during these activities on the property. AGE and the property owner from 4511 Pacific agree to <br /> indemnify, defend and hold harmless PROPERTY OWNER against any claims, suits or demands, <br /> including attorney's fees and court costs, arising out of AGE's performance of investigation work <br /> at the PROPERTY OWNER property biought by any third party, person, entity or government <br /> body. Also, AGE and the property owner from 4511 Pacific agree to indemnify, defend and hold <br /> harmless PROPERTY OWNER against any claims, suits or demands, including attorney's fees <br /> and court costs, arising out of, or in any connected to AGE'S entry on the PROPERTY OWNER <br /> property. <br /> /t5 IKa,r,G� <br /> Dated: , 200 <br /> J <br /> PROPERTY OWNER. <br />
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