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2900 - Site Mitigation Program
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PR0517411
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
7/27/2020 2:07:35 PM
Creation date
7/27/2020 10:54:52 AM
Metadata
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Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0517411
PE
2950
FACILITY_ID
FA0013411
FACILITY_NAME
PAYLESS SHOE STORE
STREET_NUMBER
1160
Direction
W
STREET_NAME
YOSEMITE
City
MANTECA
Zip
95337
APN
21902033
CURRENT_STATUS
01
SITE_LOCATION
1160 W YOSEMITE
P_LOCATION
04
QC Status
Approved
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EHD - Public
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Former Shell Service Statim %.d Page 2 <br /> 1160 West Yosemite Avenue December 07, 2011 <br /> Manteca, California 95337 <br /> limits may be destroyed by pressure grouting from the bottom upward, while leaving the <br /> well casing in place. The top three feet or more of the well shall be drilled out with an <br /> auger that is at least one foot larger than the auger originally utilized to install the well, <br /> and the soil around the cut off casing removed to a depth of an additional six inches <br /> below the new 'top' of the cutoff casing. The grout sealant shall spill out of the top of the <br /> well casing to form a mushroom cap seal, with at least 12 inches of neat cement grout <br /> poured 6 inches above and 6 inches below the top of the cut off casing. <br /> • All groundwater displaced to the surface during grout installation shall be pumped out of <br /> the excavation to allow for the EHD inspection and verification that the well has been <br /> properly destroyed. Contaminated groundwater pumped out of the excavation shall be <br /> containerized for proper disposal. <br /> After the EHD has approved the well destruction scope of work proposal, you may submit an <br /> EHD Well and Boring Permit Application form, Master File Record form and the appropriate <br /> fees for each parcel. The permit fee for the destruction of each well is $125, along with a $375 <br /> Inspection Activity fee. A review of the site records indicates that 5 wells currently were <br /> installed. A fee of $1,000.00 will be required for the well destruction permit. <br /> Please provide the EHD certification in writing that all record owners of fee title to the above <br /> referenced site have been notified of your request for closure. This is in accordance with <br /> Section 25297.15 (a) of the California Health and Safety Code. Submit a complete list of record <br /> owners of fee title and their mailing addresses to the EHD. A form has been enclosed for this <br /> purpose. <br /> If you have any questions, please contact Vicki McCartney at (209) 468-9852 or by email at <br /> vmccartney@sjcehd.com. <br /> Sincerely, <br /> Victoria L. McCartney, REHS Adrienne Ellsaesser, REHS <br /> Senior Registered Environments Health Specialist Acting Program Coordinator <br /> c: Mr. James L. L. Barton, PG, California Regional Water Quality Control Board Central <br /> Valley Region, 11020 Sun Center Drive, Suite 200, Rancho Cordova, CA 95670 <br /> Mr. Kirk Larson, PG, State Water Resources Control Board Underground Storage Tank, <br /> PQ Box 944212, Sacramento, California 94244-2120 <br /> Mr. Joe W. Neely, PG, Conestoga-Rovers & Associates, 19449 Riverside Drive, Suite <br /> 230, Sonoma, California 95476 <br />
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