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2900 - Site Mitigation Program
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PR0541818
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COMPLIANCE INFO
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Entry Properties
Last modified
5/28/2021 11:41:05 AM
Creation date
5/28/2021 11:19:51 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0541818
PE
2965
FACILITY_ID
FA0023982
FACILITY_NAME
SJC PUBLIC WORKS UTILITY MAINTENANCE DIVISION
STREET_NUMBER
0
STREET_NAME
LINNE
STREET_TYPE
RD
City
TRACY
Zip
95304
APN
24809015
CURRENT_STATUS
01
SITE_LOCATION
LINNE RD
P_LOCATION
03
QC Status
Approved
Scanner
SJGOV\dsedra
Tags
EHD - Public
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. • ? <br />m KLEINFELDER <br />APPENDIX C <br />APPLICATION FOR AUTHORIZATION TO USE <br />WORKPLAN, MONITORING WELL ABANDONMENT <br />AND RE-INSTALLATION (MW-1r) <br />CASTELLO ESTATES <br />TRACY, CALIFORNIA <br />File Number: 24134.E01 Date: February 26, 2003 <br />TO: Kleinfelder, Inc. <br />2825 East Myrtle St. <br />Stockton, California 95205 <br />Telephone: (209) 948-1345 <br />Fax: (209) 948-0621 <br />To Whom It May Concern: <br />Applicant understands and agrees that the Work-plan for monitoring well abandonment and re-installation <br />for the subject site is a copyrighted document, that Kleinfelder, Inc., is the copyright owner and that <br />unauthorized use or copying of the report is strictly prohibited without the express written permission of <br />Kleinfelder, Inc. Applicant understands that Kleinfelder, Inc., may withhold such permission at its sole <br />discretion, or grant such permission upon such terms and conditions, as it deems acceptable. <br />Applicant agrees to accept the contractual terms and conditions between Kleinfelder, Inc. and Castello <br />Estates, LLC originally negotiated for preparation of this document. Use of this document without <br />permission releases Kleinfelder, Inc. its owners, employees and subcontractors from any liability that <br />may arise from use of this report. <br />To be completed by Applicant <br /> <br />(Company Name) (Print Name) <br />(Address) <br /> <br />(Signature) <br /> <br />(City, State, Zip) <br /> <br />(title) <br /> <br />(Telephone) (Fax) <br /> <br />(date) <br />Approval of Original Client <br />By: <br />(Client Signature) <br />(Client Name and Title) <br />For Kleinfelder, Inc.'s use only <br />Approved for re-use with additional fee of $ <br />Approved for re-use with applicant's agreement to following conditions: <br />Applicant agrees to above terms and understands that findings discussed in report were based on available <br /> information and site conditions as noted at time of report <br />Disapproved, report needs to be updated <br />By: Date: <br />(Kleinfelder, Inc. Manager) <br />24134.E01 / ST03R304 <br />Copyright 2003, Kleinfelder, Inc. <br />Page C-1 <br />February 26, 2003 <br />(date)
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