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Environmental Health - Public
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2900 - Site Mitigation Program
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PR0536689
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Last modified
3/4/2019 1:39:07 PM
Creation date
3/4/2019 11:13:38 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0536689
PE
2957
FACILITY_ID
FA0021073
FACILITY_NAME
STKN CHARTER WAY COMMINGLED PLUME
STREET_NUMBER
508
Direction
W
STREET_NAME
CHARTER
STREET_TYPE
WAY
City
STOCKTON
Zip
95206
APN
16504016
CURRENT_STATUS
01
SITE_LOCATION
508 W CHARTER WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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!nt By: Gregg Drilling & Testing, c. ; 925 313 0302; May-8-10:48; Page 1 /2 <br /> o3/wo1 TUE 11:21 FAX 1 918 Bb oaao SECOR-SACRAMENTO <br /> 1®DDZ ' <br /> Well Drillers Authorization Letter <br /> Site Address: 5n8 Wncc Chatttr Wav <br /> C1ry,Zip- Stockton,952 <br /> Well Driller Grefe In Situ IDC, <br /> Drillers Address: 950 HourreBnad <br /> City,State,lip M-RrdW CA-9-4 '1 <br /> Driliets Phone N: (925)3134800 <br /> G57 License N. 656407!rI!I1/485165 f1�Exp-DatfLlg llgZ — <br /> For the sole purposeofproofing permlta for CPT advancemeM dolling and construction of air sparge <br /> vapor extraction,and groundwater extraction wells,I here by designate the fallowing emities m act as my <br /> authorized reprosemative- <br /> Name: Isrian Uva <br /> Company: SEC9R Intcrnatiottnl3EmlpIIiiT <br /> Address: 3017KJJ <br /> City, State,Zip Rancho Cordova_QA 95670 <br /> I understand that as rhe applicant for permits,I am respowible for compliance with all provisions of the <br /> permits. 1 also understand that upon written notification to Sacramento County that I may rescind this <br /> Authorization. <br /> Signed, <br /> Printed: Wa,f7 . a, d <br /> Date: � ,�,/ D I <br /> I <br />
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