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SITE INFORMATION AND CORRESPONDENCE FILE 3
Environmental Health - Public
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COUNTRY CLUB
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2900 - Site Mitigation Program
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PR0505513
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SITE INFORMATION AND CORRESPONDENCE FILE 3
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Last modified
6/20/2019 4:31:03 PM
Creation date
6/20/2019 3:35:36 PM
Metadata
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Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
FILE 3
RECORD_ID
PR0505513
PE
2950
FACILITY_ID
FA0006438
FACILITY_NAME
United # 5446
STREET_NUMBER
1403
Direction
W
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12323246
CURRENT_STATUS
02
SITE_LOCATION
1403 W COUNTRY CLUB BLVD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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1403 Col ntry Club Blvd, Stockton, CA <br /> Page 2 <br /> be cut off 6 inches above the bottom of this excavation, and removed. The grout used to <br /> seal the well shall then be topped off and allowed to spill over into the excavation and fill <br /> it for a thickness of one foot to form a `mushroom cap' over the top of the cut casing. <br /> • It `nested' wells were installed at the site and need to be destroyed by overdrilling, an <br /> auger larger than the original auger must be used and centered on the deepest casing <br /> (which is off-center in the original borehole). The auger needs to be sized sufficiently to <br /> reach out and remove all well casings, screens, filter packs, and grout sealant installed <br /> during construction. <br /> • All groundwater displaced to the surface during grout installation shall be pumped out of <br /> the excavation and containerized for proper disposal. <br /> • Any wells located offsite require updated access agreements and/or encroachment <br /> permits to be submitted with the EHD Well Destruction Permit Application. <br /> A minimum 60-day period of Public Participation Notice (PPN) is required to be sent to all <br /> effected properties including adjacent properties and their owners/occupants/tenants. Prepare a <br /> PPN on letterhead that includes a summary of the site history. Include a confidential listing to <br /> the EHC of owners/occupants/tenants that will be notified. Submit the draft PPN to the EHD <br /> staff noted below for review and approval. The 60-day Public Participation period begins once <br /> the PPN is posted to CVRWQCB's GeoTracker website. <br /> Following the completion of the 60-day Public Participation notification, well destruction permit <br /> applications may be submitted and processed by the EHD. Deadline for submittal of the well <br /> destruction work plan is October 7, 2013. Well Destruction Permit Application(s) current fees <br /> are: $37:5.00 per permit, (one permit per parcel) plus $125.00 per each well on the parcel that is <br /> to be destroyed. A nested well is considered to be one well. <br /> If you have any questions please contact Lisa Medina at (209) 468-3455 or by email at <br /> Imedina�sicehd.com. <br /> Regards <br /> O <br /> (: isa Medina, REH <br /> Senior Registered Environmental Health Specialist <br /> c: Jame: Barton, PG, CVRWQCB, 11020 Sun Center Drive#200, Rancho Cordova, CA 95670 <br /> Jane Bohn, Atlantic Richfield Company, 150 W Warrenville Rd., Mail Code 200-IN, <br /> Naperville, Illinois 60563 <br /> Gabe Stivala, 701 University Ave., #200, Sacramento, CA 95825 <br /> Calwater, 1505 E Sonora Street, Stockton, CA 95205 <br /> City of Stockton, 345 N EI Dorado Street, Stockton, CA 95202 <br />
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