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2900 - Site Mitigation Program
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PR0543966
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COMPLIANCE INFO
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Entry Properties
Last modified
6/14/2021 1:29:08 PM
Creation date
6/14/2021 11:29:07 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0543966
PE
2960
FACILITY_ID
FA0025009
FACILITY_NAME
WELL DESTRUCTION ACTIVITIES
STREET_NUMBER
575
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
21449003
CURRENT_STATUS
01
SITE_LOCATION
575 W GRANT LINE RD
P_LOCATION
03
QC Status
Approved
Scanner
SJGOV\dsedra
Tags
EHD - Public
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I 1011111111 111111 1 I III .1 .1111111 I 111111 111 11 <br />Federal L. plosives License/Permit <br />(18 U.S.0 Chapter 40) <br />U.S. Department of Justice <br />Bureau of Alcohol, Tobacco, Firearms and Explosives <br />Direct ATF <br />Correspondence To <br />ATF - Chief, FELC <br />244 Needy Road <br />Martinsburg, WV 25405-9431 <br />License Permit <br />Number 9-CA-029-33-1A-02228 <br />Chief, Federal E:) losives Licensing Center (FEL(, p <br />1,1Aiii P. January 1, 2021 <br />Expiration <br />Date <br />Federal Explosives License/Permit (FEL) Information Card <br />License/Permit Name TYLOR MCMILLANS WELL SERVICES LLC <br />Business Name: 0111111*1'41 , v‘i <br />License/Permit Number 9-CA-029-33-1A-02228 <br />License/Permit Type: 33-USER OF EXPLOSIVES <br />- <br />Expiration: January 1, 2021 <br />Please Note: Not Valid for the Sale or Other Disposition of Explosives. <br />In accordance with the provisions of Title XI, Organized Crime Control Act of 1970, and the regulations issued thereunder (27 CFR Part 555), you may engage in <br />the activity specified in this license or permit within the limitations of Chapter 40, Title 18, United States Code and the regulations issued thereunder, until the <br />expiration date shown. THIS LICENSE IS NOT TRANSFERABLE UNDER 27 CFR 555.53. See 'WARNINGS" and "NOTICES" on reverse. <br />Name <br />TYLOR MCMILLANS WELL SERVICES LLC <br />Premises Address (Changes? Notify the FEU' at least 10 days before the move.) <br /> <br /> <br />Type of License or Permit <br />33-USER OF EXPLOSIVES <br />Purchasing Certification Statement <br />The licensee or pennittee named above shall use a copy of this license or pamit to assist a <br />transferor of explosives to verify the identity and the licensed status of the licensee or <br />permittee as provided by 27 CFR Part 555. The signature on each cony must be an original <br />signature. A faxed, scanned or e-mailed copy of the license or permit with a signature <br />intended to be an original signature is acceptable. The signature must be that of the Federal <br />Explosives Licensee (FEL) or a responsible person of the FEL. I certify that this is a true <br />copy of a license or permit issued to the licensee or pennittee named above to engage in the <br />business or operations specified above under "Type of License or Permit." <br />Mailing Address (Changes? Notify the FELC of any changes.) <br />TYLOR MCMILLANS WELL SERVICES LLC <br /> <br /> <br /> <br />LicenseePermittee Responsible Person Signature Position/Title <br /> <br />Printed Name Date <br /> <br />ATF Form 5400.14/5400.15 Pad I <br />Revised October 2011 Previous Edition is Obsolete TWO MCMILLAIW WELL $5 155555 55E:123W2 MOE S AWNUE13312:9-004211-33.1A411:18Wwwwi 1. ME M-USEE. OF EXPLOSIVES <br />Federal Explosives license (FEL) Customer Service Information <br />Federal Explosives Licensing Center (FELC) <br />244 Needy Road <br />Martinsburg. WV 25405-9431 <br />Toll-free Telephone Number: (877) 283-3352 <br />Fax Number: (304) 616-4401 <br />E-mail: FELC(aatlgov <br />ATF Homepage: www.atfgov <br />Change of Address (27 CFR 555.54(a)(1)). Licensees or permittees may during the term of their current license or permit remove their business or operations to a <br />new location at which they intend regularly to carry on such business or operations. The licensee or permittee is required to give notification of the new location of the <br />business or operations not less than 10 days prior to such removal with the Chief Federal Explosives Licensing Center. The license or permit will be valid for the <br />remainder of the term of the original license or permit. (The Chief, FELC, shall, if the licensee or pennittee is not qualified, refer the request for amended license <br />or permit to the Director of Industry Operations for denial in accordance with § 555.54.) <br />Right of Succession (27 CFR 555.59). (a) Certain persons other than the licensee or permittee may secure the right to early on the same explosive materials <br />business or operations at the same address shown on, and for the remainder of the term of, a current license or permit. Such persons are: (1) The surviving spouse <br />or child, or executor, administrator, or other legal representative of a deceased licensee or permittee: and (2)A receiver or trustee in bankruptcy, or an assignee for <br />benefit of creditors. (b)In order to secure the right provided by this section, the person or persons continuing the business or operations shall furnish the license or <br />permit for for that business or operations for endorsement of such succession to the Chief. FELC, within 30 days from the date on which the successor begins to <br />carry on the business or operations. <br />(Continued on reverse side) <br />Cut Here X
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