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SERVICEf'REOUEST <br /> Facility ID Facility Name <br /> Record ID 014263 Location 1325 n. corral hollow <br /> ee�eeeeeeeeeeeeeeeeee�eeeeeee�eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee <br /> Property Owner HAGOP MANUELIAN <br /> Business Name CINTRA GROUP LP <br /> Street Number Dir Street Name Type Unit <br /> 100 S ELLSWORTH AVE FLR 9 <br /> 2nd Address <br /> City SAN MATEO State CA Zip 94401- <br /> Phone 1 415-358-9900 Ext APN 238-030-18 <br /> Phone 2 - - Ext <br /> Census 000001 District 005 Location 03 Citycode <br /> Requestor DOMINIQUE SOREL <br /> Business Name PRECISION DRILL, C-57 #636387 <br /> Address 1 47 LOUISE ST <br /> Address 2 <br /> City SAN RAFAEL State CA Zip - <br /> Phone Number 415-456-9875 Ext <br /> Nature of Service Request - <br /> ONSITE BORING PERMIT FOR 3 GEOPROBES TO GROUNDWATER PER APPROVE <br /> D WORKPLAN, INFURNA/SITE MIT-UNIT 4 . <br /> SERVICE REQUEST <br /> eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee <br /> Comments - <br /> GEOMATRIX CHECK #054676 FOR THIS PERMIT, <br /> Name Date Time <br /> Received By 0684 INFURNA, MICHAE 11/18/97 <br /> Assigned To 0684 INFURNA, MICHAE 11/18/97 <br /> Date Service Completed _/_/_ Requires Further Action Y/N Y <br /> Amount paid 89 . 00 Program/Element 2901 <br /> Due date <br /> Oa��aa�aaaaaa�aaaaaaa�aa�aaaaaaaa�aaaaaaaaaaaaaaa�aaaaaaaaaaaaaaaaaaaa� <br /> ° This record was entered on 11/18/97 By STAFF ° <br /> ° This record was last updated on 11/18/97 By STAFF ° <br /> aa�a�����aaa�aaa��������������a��a�a�a�aaaa�aaaaaaaaaaaaaaaaaaaaaaaaaai <br />