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Uevron <br /> Chevron <br /> August 17, 1995 <br /> Chevron Pipe Line Company <br /> 4000 Executive Parkway,Suite 400 <br /> San Ramon, <br /> Alden Park Area P.O.Box 5059 A 94583 <br /> Owner/Resident Consent Form San Ramon,CA 94583.0959 <br /> Backyard Soil Sampling <br /> Dear Owner/Occupant: <br /> Chevron is conducting a soil investigation in the vicinity of your residence. As part of this study, <br /> Chevron would like your permission to obtain a soil sample from your property. <br /> Chevron has selected an independent contractor, Geomatrix Consultants, Inc., to perform the soil <br /> sampling. In the unexpected event that your yard or other property is damaged by the contractor, <br /> Chevron will assume responsibility for correcting the damage. <br /> If you consent to Chevron entering your property to perform this work, please sign and date this <br /> letter on the line below. Please include your phone numbers so that Chevron can contact you to <br /> schedule a date and time to perform the work. We greatly appreciate your cooperation in this <br /> matter. <br /> Property Address: 7 ��f// iM C R �, L <br /> Are you the owner of the subject property? Yes�_ No <br /> CON ENT: 1^I n <br /> (Signature).' <br /> V� <br /> (Name - Please Print) <br /> Date: <br /> Home Phone: �20 Work Phone: .20 9— ��— S�(o 70 <br /> Al reverso hay una version en Espanol. — <br />