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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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3500 - Local Oversight Program
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PR0545651
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
5/6/2020 10:20:48 AM
Creation date
5/6/2020 10:10:06 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545651
PE
3528
FACILITY_ID
FA0002479
FACILITY_NAME
7-ELEVEN INC #17334
STREET_NUMBER
4501
Direction
N
STREET_NAME
PERSHING
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
11017004
CURRENT_STATUS
02
SITE_LOCATION
4501 N PERSHING AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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ATTACHMENT I <br /> Such permits, reports, applications and other documentation issued by any federal, state <br /> or local governmental authority and such other standard form documentation provided by 7 <br /> Eleven or third parties to be completed in connection with Agent's performance of <br /> environmental consulting services pursuant to the Agreement, including, without limitation, the <br /> following: <br /> e <br /> a. Waste Manifests; <br /> b. Waste Characterization Forms; <br /> C. Bills of Lading; <br /> d. Waste Disposal Agreements; <br /> e. Registration and Notification Forms for underground storage tanks; <br /> f. Incident Reports; <br /> g. Discharge Notification Forms; <br /> h. Tank Closure Reports; <br /> i. Permit Applications, Notices and other documents relating to the investigation, <br /> monitoring or remediation work performed under the Agreement; <br /> j. Reports to state environmental agencies regarding investigation, monitoring or <br /> remediation work performed under the Agreement; and <br /> k. Applications to any state underground storage tank insurance or reimbursement <br /> fiend; <br /> Provided, however, that in each case, the foregoing authorizationshall not extend to any permits, <br /> reports, applications or other documentation that contain: (i)any language, the effect of which is <br /> to require 7-Eleven to indemnify, defend and/or hold harmless any third party for any act or <br /> omission of any kind; or (ii) any statement of any kind, including, without limitation, any <br /> representation or warranty, which Agent does not personally"know to be true and correct, <br /> including, without limitation, any representation concerning the legal existence or financial <br /> condition of 7-Eleven. <br /> LIMITED AUTHORIZATION—Attachment I <br /> 991578.I/SPA/76088/0396/0l 1012 <br />
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