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SITE INFORMATION AND CORRESPONDENCE FILE 2
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 2
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Last modified
6/21/2019 5:41:47 PM
Creation date
6/21/2019 3:17:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
FILE 2
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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AUG-21-97 THU 1 : 18 PM CAITRANS D10 PERMITS RAX N0. 209+946+7232 r I <br /> STATE OF CALIFORNIA'PEPARTMENI` TRANSPORTATION Pea,ar <br /> ENCROACHMENT PERMIT 1097-6SV-0361 <br /> TR-0120 MEW 9/91) __—_ <br /> vieftwitlearm <br /> in compliance with (check one): REVISED la SJ6-28.53 <br /> X Your application of MAY 9, 1997 _ <br /> Utility Notice No. of August 1, 1997 <br /> Tw"FoT� ePo� <br /> Agreement No. of S &280 S <br /> —.-� romance weM o I rarm", on o,nt <br /> R/W Contract No. of S $ <br /> -- -- Bad Company <br /> rood Number llj .� turd Numb« 121 <br /> Ta <br /> st1GL1, OIL PROf)Eicrs Co. <br /> F <br /> P,O. BOX 4023 <br /> CONCORD, CA 94574 <br /> ATTN: ALEX PEREZ <br /> PHONE: (510) 675-6168 , PERMITTEE <br /> and subject to the following, PERMISSION IS HEREBY GRANTED to: <br /> Install a monitoring well at I-5/Country Club Blvd. north bound off-ramp in Stockton. Well shall be <br /> located in the landscape strip at the toe of the slope on the westside of the off-ramp. <br /> Well shall be capped with a 12" diameter steel well box. <br /> Permittee has deposited $2,000.00 In cash in lieu of Performance Bond to ensure compliance with <br /> State Water Resources standards for abandoning well. At completion of project, upon proper <br /> abandonment of well, Permittee shall be refunded $2,000.00. <br /> Work shall be performed between 9:00 A.M. and 2:00 1'.M. Monday through Thursday or on weekends not <br /> including holidays between 8:00 A.M. and 4:00 P.M. Warning signs shall be placed as designated by the <br /> State's Representative. One lane of ramp shall be provided for traffic at all times. <br /> Traffic control shall be done in conformance with Caltrans Standard I'lans 1995, and Manual of Traffic <br /> Controls 1996. <br /> Thehlowtng oNochmenh are o:a included as pod—of h permit. In wr oo to ee the pewaea will be b',Iled <br /> (Check uppr¢nble): octuol cosh fori <br /> X Yes _ No C'ener.l Ptovislor% — Yes X No Revlew <br /> _ Yes X No igikry,Moinlaname PmvWon, Yes X No Inspedlon <br /> X Yes _ No Special Pro0s%ons T X Yes _____ Fold Wort <br /> Yet S7, No A Cot OSHA permA squired prior to beginning work, <br /> if Of any Cakrons effort e.pended) <br /> Yes _ X No The Informoyron In the endronmsMol docanentoson hos been reviewed and considered prior to <br /> approval of this permit. <br /> Tho permit it vold unless the work Is completed before IANVARY 33 1999 -� <br /> This parma b to be dddly conshved and no other wort other than specifically mentioned is hereby authorized. <br /> No proled work shop be commenced until a1 other necessary po mss and environmental clearances hove been obtained. <br /> Orig - Permittee ---PROVED: �� <br /> 1 - Permit File �1 <br /> 9 - MIKE 110NMA Post-IC Fax Note _ <br /> 1 - ENVIROS, INC. [Kh, <br /> - .. ._. .,` 7671 ooro g �o e. <br /> do Joe Neely M,9 4 y h F -�T�-.ge -....._ / <br /> rom <br /> P.O. Boa 259 /Dooi /_,f'el ... �C. <br /> Sonoma, CA 95476 sCo ' 00 �(YYi- <br /> —~� =-3Y3 _ Faxil <br /> Page 1 of 7 <br />
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