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Environmental Health - Public
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2900 - Site Mitigation Program
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PR0505070
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Last modified
1/17/2020 5:03:46 PM
Creation date
1/17/2020 3:27:00 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0505070
PE
2960
FACILITY_ID
FA0006510
FACILITY_NAME
CHEVRON PIPELINE
STREET_NUMBER
0
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
214-020-10
CURRENT_STATUS
01
SITE_LOCATION
GRANT LINE RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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�t J <br /> TA N, 1 1 ' 9 1 14 47 FR C)"''-SUJ G RPAGE 002 <br /> � <br /> tf.. •I9^I I1 35 F-'ht . Innis Melt p Taj 1315: P. J2 el: <br /> 1 taf'f' .. 52' / <br /> .�+.meg,,,,-y.. w, -.«• . <br /> ii <br /> TJ <br /> JAN 1 I i9si <br /> E-N'VIRONMENJTAL HEALTil <br /> P€fiA+{ ISERVICES <br /> Z',P IT TO PLACE TEMPORARY MONITORING WELL <br /> i <br /> Toa Tracy Orchard, Inc . , Chevron USA, Inc . , Pacific Asphalt <br /> inc . , and CP Well Drill:Lngs <br /> 1 . ;fou and such a50xtts as you may designate are hereby <br /> authori2ed to install and ,maintain ground 'water monitoring wells <br /> upon, the property. owned' or lawfully possessed by the undersigned <br /> at thQ sites designated upon the attached plat for a period of <br /> s .x 'months from the date indicated below. <br /> 2 .1 This peri it iz , oxpressly conditioned upon the following; <br /> (a) you obtain and maintain at all ti-mes that this Permit i$ <br /> in effect liability insurancs for, personal injury with limits of <br /> at Yeast Si, 000, 000 for each occurrence and for property damage <br /> with 1'1nits of at ioast $100,000 for each ❑ccurrence for 1092es <br /> occasioned by such entry; and <br /> (b) you hold the undersigned perrnittor harml2s5 from any ' <br /> loss or damage Claimed by third partie-9, or by any employee or <br /> agent of yours, arising from the entry upon the undersigned <br /> permittor's Land by you; contractors, agents and employes <br /> he:t:eunder.. <br /> 3 . Entacy by you or your designated agent shall constitute <br /> Conclusive proof of your acceptance of the foregoing terms and <br /> conditions . <br /> Dated: l 1991 <br /> Fermi for <br /> y <br /> TOTAL PAGE-.-002 <br />
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