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Service Request Information <br /> Facility ID: � Billing Account ID: <br /> Record ID: SR0066315 ❑Update address <br /> Facility Name: COSTCO WHOLESALE <br /> Site location:12680 REYNOLDS RANCH PARKWAY <br /> Copy Address With: Add a service reauest comment <br /> Entered date: 12/28/201 Update date: Update by: <br /> Location and Owner Information <br /> Property owner: COSTCO WHOLESALE CORPORATION <br /> Number: 2680 Direction: (none) Street name: REYNOLDS RANCH Street type: PKWY <br /> Unit type: Unit: APN L5 5014 <br /> City: LODI State: ZIP Code: 95240 1 <br /> — <br /> Country: USA Location: j <br /> LODI District code: VOGEL,KEN <br /> Phone 1: Phone 2: (916)366-1701 —� <br /> Requestor Information <br /> — _ _ -- <br /> Requestor: C.JULIE HERNANDEZ-SSTAFF GEOLOGIST,KLEINFELDER for <br /> Business name: VIRONEX <br /> Requestor address: 1641 CHALLENGE DRIVE <br /> City: CONCORD 1 State: ZIP Code: <br /> Requestor Phone: —� <br /> Nature of Service <br /> Nature of service: 'ONE DIRECT PUSH BORING TO—9' <br /> _. <br /> P/E Code: 2905 P/E Description: SOIL BORING/PROBE-SITE MITIGATION <br /> JOHNNY YOAKUM <br /> Received b Date: 12/28/2012 -771 <br /> Assigned to: <br /> g I JOHNNY YOAKUM � Date: 12/28/2012 <br /> Plan type: (none—� Plan status: (none) Last activity date:F <br /> Amount paid: $500.00 Check number: ELECTRONIC Archived: (none) <br /> Due date:�— ❑Requires further action <br /> Comments <br /> ONE 9"BORING WITH SAMPLES AT 2',5',AND 8'. <br /> Service memo: <br /> GIS <br /> Latitude: —� <br /> Longitude: -----_ __ � <br /> Elevation: <br /> Add an event <br />