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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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HAMMER
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3500 - Local Oversight Program
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PR0545245
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
1/30/2020 11:53:34 AM
Creation date
1/30/2020 10:33:16 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545245
PE
3528
FACILITY_ID
FA0003730
FACILITY_NAME
TIWANA GAS & FOOD
STREET_NUMBER
1210
Direction
E
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95210
APN
09403012
CURRENT_STATUS
02
SITE_LOCATION
1210 E HAMMER LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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HORIZN-:E <br /> _- R�NMENTAL_INC. <br /> _ <br /> IIENEIH� ` Specialists in Site Assessment,Remedial Tesfing,©esigh and Operation <br /> ,- March 31,-2 <br /> M.r._Nliehia lInfurna RPR 0 2 2003 <br /> Enviromnental Health Department <br /> HEALTH <br /> San Joaquin Caunty:: <br /> ._.__304_-East Weber Avenue,Third floor <br /> --Stockton;Cil-66riaia 95201-03$$ <br /> - Subject: Transmittal:of W_ ell=Permit Application <br /> _ -Beacori-StatronNo 3641; 1210 E. Hammer=Lurie, Stockton, California <br /> klr:Infiarna: <br /> - _- At the request of Ultramar Inc ; Horizon Environmental:_Inc. .(Horizon) is forwarding the <br /> -endo"sed well perrrrrt :applrcatron :dated 1Vlarch 3-1; 2003 .. The=application is: for the <br /> abandonment of rriontoring well IVIW=8 of thestibject_site as spawn on the attached figure. <br /> _Also enclosed is a check for $60 to cover the applrcati_on fee-for.t e=permit and.a Licensed <br /> Contractor.'s__ Declaration form_- Cornpletcd:: by Mitchell_-Drilling\Environmental. An <br /> ericroachrrent permit- <br /> application has been submitted to_the City of Stocktan Pub_lrc Works <br /> Department to allow access to the city rrghf-of way The fieldwork isentatrvely scheduled <br /> for Thursday or Fr-iday, Aprr1 10 or 41, 2003 Please call Horizo .-at--916-939'2T70---if you <br /> - - have any questions;and to advise of approval sa final sffiedulzng can bear raged. <br /> ncerely; <br /> HOR_ I NVIkOMMENTAL INC: ( /, <br /> Rexford Smith- <br /> _ <br /> Registered Geologist No 5M <br /> Enclosures: Well-Permit Application <br /> - Site.Map <br /> Licerised Contractor.'.s_.Declaration <br /> _ - Permit-Fee.Check- - <br /> cc: Mr. Joe Aldridge,Ul--rarhafHnc. <br /> -501:1 Golden Foothill Parkway, Suffe 7 :.-R Dorado-Hills:'CA 95762.`+ (916) 939-2170 FAX.(91.6)-939-2172 <br /> T.G. Boz 5283.:*_Bakersfield,-CA. 93388 (661) 589-8389 • FAX (661) 589-1456 <br />
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