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SERVICE REQUEST <br /> Facility ID Facility Name <br /> Record ID 013925 Location 1267 COUNTRY CLUB, STKN <br /> eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee <br /> Property Owner BANK OF THE WEST <br /> Business Name CURRENTLY NO OPS AT SITE <br /> Street Number Dir Street Name Type Unit <br /> 1267 COUNTRY CLUB BLVD <br /> 2nd Address <br /> City STOCKTON State CA zip <br /> Phone 1 510-942-8670 Ext APN 113-042-14 <br /> Phone 2 - - Ext <br /> Census 000001 District 002 Location 01 Citycode <br /> Requestor CHRISTOPHER PRUNER, OPS MGR <br /> Business Name GREGG DRILLING, C-57 #485165 <br /> Address 1 950 HOWE RD <br /> Address 2 <br /> City MARTINEZ, State CA zip 94553- <br /> Phone Number 510-313-5900 Ext <br /> Nature of Service Request - <br /> ONSITE BORING PERMIT FORFOUR (4) MONITORING WELLS AND GEOPROBES <br /> UNDER APPROVED WORKPLAN, LOP INFURNA. CONCURRENT WITH OFFSITE <br /> SERVICE REQUEST <br /> eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee <br /> Comments - <br /> PERMIT SR#013924 FOR TWO (2) MONITORING WELLS IN ELMWOOD NORTH OF SITE. <br /> ENVIROS CHECK # 6877 10\01\97 FOR $178 . DEPOSITED 01\27\98 AFTER RECIEP <br /> T OF COS PAPERWORK 01\26\98 . <br /> Name Date Time <br /> Received By 0684 INFURNA, MICHAE 10/10/97 <br /> Assigned To 0684 INFURNA, MICHAE 10/13/97 <br /> Date Service Completed Requires Further Action Y/N Y <br /> Amount paid 89 . 00 Program/Element 3501 <br /> Due date <br /> ° This record was entered on 10/13/97 By STAFF <br /> ° This record was last updated on 02/11/99 By STAFF 0 <br />