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SITE INFORMATION AND CORRESPONDENCE FILE 1
Environmental Health - Public
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2900 - Site Mitigation Program
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PR0541989
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SITE INFORMATION AND CORRESPONDENCE FILE 1
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Last modified
6/21/2019 5:10:28 PM
Creation date
6/21/2019 3:11:05 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
FILE 1
RECORD_ID
PR0541989
PE
2950
FACILITY_ID
FA0024100
FACILITY_NAME
COUNTRY CLUB VALERO
STREET_NUMBER
2575
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12302012
CURRENT_STATUS
01
SITE_LOCATION
2575 COUNTRY CLUB BLVD
P_LOCATION
01
QC Status
Approved
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EHD - Public
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y®r � <br /> n <br /> "F S-TOCKTON <br /> Il: pg <br /> DEPARTMENT OF PUBLIC WORKS - �' _•• �j <br /> CITY Ul/ <br /> 425 N.EL DORADO STREET <br /> STOCKTON.CA 55202-1 SS7 <br /> June 111 1996 <br /> Gregg Vaughan <br /> EnvirosM� 2575 �B" rr/K� <br /> P.O. Box 259 <br /> Sonama, CA 95476 <br /> REVOCABLE PERMIT REQUEST FOR GROUNDWATER MONITORING WELLS <br /> The permitting process required by the City of Stockton for installation of groundwater <br /> monitoring wells is a two phase process. First, a RevocaJle Permit must be issued, wherein <br /> the City grants permission to the property owner to install and maintain a private well within <br /> the City's right-of-way. Second, an Encroachment Permit is issued which allows the actual <br /> construction of the well to be carried out in our right-of-way. <br /> In order to issue the Revocable Permit, the City requires the following: <br /> 1. A formal written request for a Revocable Permit in which you acknowledge that you <br /> have read and understand the City's Standard Conditions Applicable to Revocable <br /> Permits. An acceptable application form and copy of the Standard Conditions are <br /> enclosed. <br /> 2. A processing fee payable to the City of Stockton in the amount of $310.00. <br /> 3. A detailed work plan including a sketch showing the location of the proposed well(s). <br /> 4. A Faithful Performance Bond, or other acceptable form of financial security, in an <br /> amount of $500.00 per wei! will be required. This bond sha!I remain in effect for as <br /> long as the well remains in the City's right-of-way. <br /> 5. A certificate of insurance naming the City as additional insured. Insurance is required <br /> for the agency obtaining the Revocable Permit and the agency obtaining the <br /> Encroachment Permit. A sample form of the certificate is enclosed. Note that the <br /> limits are higher than shown in the Standard Conditions. <br /> "STOCK-1 ON...CALIPCRNIA'S SUNRISE SEAPORT" <br />
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