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SITE INFORMATION AND CORRESPONDENCE FILE 2
Environmental Health - Public
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SITE INFORMATION AND CORRESPONDENCE FILE 2
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Last modified
2/15/2019 2:31:10 PM
Creation date
2/15/2019 1:45:46 PM
Metadata
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Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
FILE 2
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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Page I of 1 <br /> Thuy Tran [EH] <br /> From: Mike Infurna [EH] <br /> Sent: Wednesday, February 08, 2012 2:14 PM <br /> To: 'lasengher@WDCexploration.com' <br /> Cc: Thuy Tran [EH] <br /> Subject: forms for drilling permit <br /> Attachments: LCD Scanned_pdf; 16470 Cambridge MW1&2 dest-repl+UST SBs Feb 2012.pdf <br /> Brian, <br /> Dan Blaes of Blaes Environmental submitted this attached permit application to <br /> take out two shallow MWs and replace them. In addition, there is one extra soil <br /> boring only to —16 feet that needs to get a soil sample to complete the recent <br /> UST removal in Lathrop. <br /> You can contact Dan at (602) 728-0707 to work out your scope of work. Just so <br /> you know, the two damaged wells are to be drilled out to TD — 25-30'bgs with 8" <br /> augers and backfilled with neat cement. The replacement wells are to be <br /> installed near the removed ones, in new holes with about the same construction. <br /> See the work plan from Dan. <br /> The two replacement wells will start out as soil borings to —15' -16'bgs to get UST <br /> closure soil samples. After the sample is collected in each, the hole is to be <br /> continued to —25-30' bgs and a 2" MW is to be installed in the hole. <br /> The third soil boring starts out just like the first two, but only needs a —15'-16'bgs <br /> soil boring like the first two. After the soil sample is collected, this third soil boring <br /> is to be neat cement grouted to the surface. <br /> Also attached is a Licensed Contractor Declaration (LCD) form. This is page two <br /> of our permit application. Dan did NOT send it in but he signed page one of the <br /> applic (attached). All you need to do is sign your name at the bottom of the LCD <br /> next to /, and on the next line down write in "DAN BLAES". <br /> NO NEED TO FILL IN ANY OTHER PARTS OF THE LCD. Then scan it and <br /> send it back to me. If you can't scan it, fax it to me at (209) 464-0138. Call me to <br /> let me know you fax'd and I'll go find it. <br /> Let me know when you schedule this please. If you don't plan this drill by Feb 10, <br /> chances are I won't be there to inspect. Someone from my unit plus Thuy Tran <br /> from the UST unit will be there to witness/inspect the activities. <br /> Mike <br /> 209.468.3454 <br /> 2` -7'2012 <br />
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