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F SERVREQ SERVICE REQUESTS <br /> Facility ID Facility Name <br /> Record ID 008403 Location offsite 2103 COUNTRY CLUB, STI' <br /> Property Owner SAN JOAQUIN COUNTY/PUBLIC WORT: Ph#1 209-468-3057 <br /> Address LOUIE PEREZ, 1810 E. HAZELTON Ph#2 <br /> City STOCKTON, CA "Lip 95206— <br /> APN <br /> Census 000001 District 001 Location 99 Citycode <br /> Request or CLIFF GARRATT, RG, TERRA VAC <br /> Business Name WEST HAZMAT DRILLING, C-57 <br /> Address 3233 FITZGERALD RD <br /> City RANCHO CORDOVA, CA Zip 95742- <br /> Phone Number 916-638-7'276 <br /> Nature of Service Request — <br /> BORING PERMIT FOR OFFSITE MONITORING WELLS, MW' S 10, 11, & 12 <br /> IN THE COUNTY STREET INTERSECTION OF ELMWOOD AND FRANKLIN AYES <br /> F=Find E=Enter- U=Update D=Delete Page i 2:48:47p <br /> F SERVREGr SERVICE REQUESTS <br /> Comments <br /> FOR DOWNGRADIENT GROUNDWATER PLUME INVESTIGATION FOR FORMER CHEVRON <br /> SITE AT FRANKLIN AND COUNTRY CLUB BLVD AS PER APPROVED LOP WORKPLAN <br /> BY INFURNA AND SJ COUNTY ENCROACHMENT PERMIT #96--021—CC BY LOUIE F'EREZ <br /> AT 468-3057, OF COUNTY PUBLIC WORKS. <br /> Name Date Time <br /> Received By 0684 INFURNA, MICHAE 02/02/96 <br /> Assigned To 0684 INFURNA, MICHAE 02/02/96 <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 02/02/96 By STAFF <br /> This record was last updated on 02/02/96 By STAFF <br /> F=Find E=Enter U=Update D=Delete Page 2 2:48:49p <br />