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FIELD DOCUMENTS FILE 1
Environmental Health - Public
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EHD Program Facility Records by Street Name
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DURHAM FERRY
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1600
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3500 - Local Oversight Program
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PR0544624
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FIELD DOCUMENTS FILE 1
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Last modified
7/3/2019 5:44:20 PM
Creation date
7/3/2019 3:26:29 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
FileName_PostFix
FILE 1
RECORD_ID
PR0544624
PE
3526
FACILITY_ID
FA0005206
FACILITY_NAME
GEORGES SERVICE
STREET_NUMBER
1600
Direction
W
STREET_NAME
DURHAM FERRY
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
25510004
CURRENT_STATUS
02
SITE_LOCATION
1600 W DURHAM FERRY RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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r . FEB-04-1100 02:38 FRUN fFOLOGU=NL TECHNICS TO 4583433 P.02 <br /> ENCROACHMENT PERM PpMd Na' <br /> TR-0120 INET 91911 1097-6SV-0157 <br /> Dip/ WPM <br /> In compliance with (chock one): 10-SJ-33-3.50 <br /> X Your application of MARCH 5, 1997 <br /> Utility Notice No. of nil 9, 1997 <br /> w Depawt <br /> Agreement No. of $ 280'FalS <br /> amanw our ( r 1 <br /> R!W Contract No. of S S <br /> Band Cerntwnr <br /> Band Number (11 Bond Number (2) <br /> TO: <br /> G60LOGICAL TECHNICS ,l <br /> 2741 RIVER ROAD 425,2 <br /> MODESTO, CA 95351 <br /> ATTN: RAY KABLANOW <br /> PHONE: (209) 538.6424 I PERMITTEE <br /> and subject to the following, PERMISSION IS HEREBY GRANTED to: <br /> Install monitoring well on Route 33 at P.M. 3.50 in San Joaquin County as shown on plans. <br /> Upon cvaipledon of work, permittee shall provide Caltrans with a copy of the results from sampling this <br /> well and any technical report. <br /> Following completion of installation of the monitoring well, pernuttee shall subaut a permit application to <br /> monitor the well. After testing is completed well shall be properly abandoned in compliance with <br /> standards of the Department of Water Resources. <br /> In accordance with General Provision No. 6, TWO WORKING DAYS PRIOR to the start of this work, <br /> permittee shall notify the State representative MIKE HONMA, P.O. BOX 2048, Stockton, CA 95201, (209) <br /> 948-3656. All work under this permit must meet with the approval of the State representative. <br /> Failure on the permittee's part to comply with any provision will be cause for revocation of this permit. <br /> The folav mg atochmenh am also included as port of this permd. In addition to fee the penninee will be billed <br /> (Check applicable): octwl cops for: <br /> X Yes No General Provisions Yes X No Review <br /> — Yes X No Utility Maintenance Provisions Yes X No Inspection <br /> X Yes _ No Special Provisions T X Yes ___—_ Feld Work <br /> Yes X No A Cal-OSHA permit required prior to beginning work- <br /> e Of arty Calfrom effort expended) <br /> Yes X No The Whorn+oFcn in the environmental dacvrnentotion hos been reviewed and considered prior to <br /> approwl of this permit. <br /> This permit is wid unless the work is completed before SEMMEER 30, 1997 <br /> This permit is to be prictfy construed and no other wart other than speciBcolly rnrendroned is hereby authorized. <br /> No project work shall be commenced until all other necessary permit and ermronmeetol :Iearon.e have been obtained. <br /> prig - permittee APPROVED: <br /> I Permit File <br /> 3 - MWE HONMA <br /> 1 - SArfM AL1 <br /> Gordon A. Marts District Director <br /> BY. <br /> rr <br /> L ur e R Jyr <br /> ons, District Permit E neer <br /> Page 1 of 7 <br />
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