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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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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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January 1'1,2013 <br /> Beacon Station No. 3641 1 <br /> Well Destruction Work Plan <br /> Stockton California <br /> drilled out with the,same size auger as the original borehole. The.bore hole shall be filled <br /> with neat cement to within I foot of surface. <br /> Monitoring well MW-10 shall be destroyed by.drilling -out the well to'the width and total <br /> depth of the original bore hole. The resultant bore hole shall be sealed with neat cement <br /> 1 foot of the surface. The grout level shall be <br /> grout via tremie from total depth to within <br /> topped off until stabilized. <br /> Enclosed are two checks to cover.the application fees for the two permits in the amount of _ <br /> $500'($375 +$125)for the 99c parcel and$3000 ($375 +21[$125])for the Shadrall parcels. <br /> Also enclosed are a Licensed Contractor=Declaration and Master File Record far each <br /> permit application.n. The destruction work is scheduled to beginin 28--January ry <br /> 2013. Contact <br /> Horizon at 916,939-2170 if you have any questions or require additional information. <br /> F <br /> - Sincerely, .- <br /> HORIZON NVIRONMENTAL INC. <br /> .. s` tit •_1 •. 1 i <br /> Rexford Smith,-P.G. No. 5307 <br /> Project Manager <br /> Enclosures Permit Applications Q <br /> Right-of-Entry Agreements <br /> Well Destruction Summary Table <br /> Licensed Contractor Declarations_ <br /> Master File Records <br /> cc: Mr:Tom Sexton, Ultramar Inc. <br /> i <br /> 641 WP We[IDestn[clJan.t3.doc <br /> Project No. 164!.1,11 2 HORIZON ENVIRONMENTAL INC. <br /> F <br />
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