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SITE INFORMATION AND CORRESPONDENCE FILE 1
Environmental Health - Public
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3500 - Local Oversight Program
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PR0544155
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SITE INFORMATION AND CORRESPONDENCE FILE 1
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Last modified
2/15/2019 2:21:21 PM
Creation date
2/15/2019 1:30:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
FILE 1
RECORD_ID
PR0544155
PE
3526
FACILITY_ID
FA0000185
FACILITY_NAME
CITY GAS & LIQUOR
STREET_NUMBER
16470
STREET_NAME
CAMBRIDGE
STREET_TYPE
ST
City
LATHROP
Zip
95330
APN
19643032
CURRENT_STATUS
02
SITE_LOCATION
16470 CAMBRIDGE ST
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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SECOR vvwwsecoccom <br /> INTERNATIONAL 3017 Kilgore Road,Suite 100 <br /> ENVIRONMEN(AL HAI_X O R INCORPORATED Rancho Cordova,CA 95670 <br /> 916-861.0400 rri <br /> pCPVT SFRVICE 916-661-0430 rw <br /> July 23, 2003 03 JUL 25 PFI 1= 56 <br /> Mr. Mike Infurna <br /> San Joaquin County Public Health Services vv <br /> Environmental Health Division <br /> 304 E. Weber Avenue, Third Floor JUL 2 5 2003 <br /> Stockton, CA 95202 ENVIRONMENT <br /> PER HEALTH <br /> RE: Well Permit Application MIT/SERVICES <br /> Circle K Store#1205 <br /> 16470 Cambridge Street <br /> Lathrop, California <br /> SECOR Project No.: 77CP.61205.04.0001 <br /> Dear Mr. Infurna: <br /> This letter, prepared by SECOR International Incorporated (SECOR) on behalf of ConocoPhillips, <br /> submits this Well Permit Application for the drilling and installation of one groundwater monitoring <br /> well as proposed in SECOR's Workplan for Off-Site Assessment, dated April 7, 2003. <br /> Attached are the permit application with corresponding Licensed Contractors Declaration (LCD), one <br /> check in the amount of $356.00 ($89.00 for permit review fees and $267.00 for site mitigation fees), <br /> one site plan, and the City of Lathrop Encroachment Permit. <br /> If there are any questions regarding the contents of this application, please call us at(916) 861-0400. <br /> Sincerely, <br /> SECOR International Incorporated <br /> Thomas Y. Parker <br /> Project Geologist <br /> Attachments: Well Permit Application <br /> Licensed Contractors Declaration <br /> Site Plan <br /> Check for$260.25 <br /> cc: Mr. Ed Ralston, ConocoPhillips <br /> �Z�i2 <br />
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