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2900 - Site Mitigation Program
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PR0505768
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
11/25/2020 9:40:24 AM
Creation date
5/13/2020 2:04:42 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0505768
PE
2960
FACILITY_ID
FA0006988
FACILITY_NAME
ALDEN PARK CHEVRON
STREET_NUMBER
500
Direction
N
STREET_NAME
SEQUOIA
STREET_TYPE
AVE
City
TRACY
Zip
95376
APN
23416001
CURRENT_STATUS
01
SITE_LOCATION
500 N SEQUOIA AVE
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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�8 <br /> CDevron <br /> August 4, 1995 ; Chevron <br /> Gary &Barbara Wininger <br /> 530 N. Forest Hills Dr. <br /> Tracy, CA 95376 Chevron Pipe Line Company <br /> 4000 Executive Parkway,Suite 400 <br /> San Raman,CA 94583 <br /> Alden Park Area P.O.Bax 5059 <br /> Owner/Occupant Consent Form San Ramon,CA 94583-0959 <br /> Backyard Soil Sampling <br /> Subject Property: 530 N. Forest Hills Dr., Tracy, CA <br /> Dear Owner/Occupant: <br /> Chevron is conducting a soil investigation in the vicinity of your residence. As part of this study, <br /> Che,,on would hke yoar permiss.;On tv obtain sample from your propemi - <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 /> Sincerely, <br /> X /tom <br /> Don O. Culbertson <br /> Are you the oyvner of the subject property? Yes X` No <br /> CONE , - <br /> (TI ggalure) <br /> (Name - Olease Print), <br /> Date: 1/a�W� _ <br /> Home PhD ✓L6J 0 <br /> dne� Work Phone. <br /> Al reverso hay una version en Espanol. <br />
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