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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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4 %Md <br /> Beacon/Ultramar#3641 December 9, 2011 <br /> 1210 E. Hammer Lane, Stockton, CA 95210 page 2 <br /> • Please submit a copy of an access agreement signed by each property owner <br /> authorizing your entry to each of the other private properties along with your EHD Well <br /> and Boring Permit Applications. <br /> • The EHD has reviewed the data for the wells at this site and has determined that wells, <br /> MW-1 & VW-1 & 2, VW-3 & 4, VW-5 & 6, VW-7 & 8, SW-1, MW-2, MW-3, MW-4, <br /> MW-5, and MW-10 were either contaminated at the last reported sampling event or are <br /> in an area of residual contamination, as depicted by recent soil and groundwater iso- <br /> concentration figures provided to the EHD for closure review. These wells do not <br /> qualify for pressure grouting and must have the contents removed. <br /> • Currently there are four wells with multiple casings installed in one borehole. Each of <br /> these multi-cased (nested) wells are considered as one well for permit fee calculations. <br /> Double and triple nested wells proposed for over-bore must use an auger of an <br /> adequate size that when centered on the deepest casing, is capable of reaching the <br /> outside most radius of the original borehole. For single cased wells that are to have <br /> the contents removed by over-boring the wells, please plan on using the same auger <br /> diameter as used for installation. <br /> The permit fee for the destruction of each well is $125, along with a $375 Inspection Activity <br /> fee per application. Only MW-2 is located on property not owned by Shadrall Hammer Lane <br /> LP and this permit application requires a $500 fee. A review of the site indicates that 21 other <br /> casings are present in 16 boreholes. These 16 boreholes (wells), whether located on or off of <br /> the gas station property, can be included on one permit application since the properties are all <br /> owned by a single landowner. The permit fee for 16 wells is $2375. Please submit two <br /> separate and signed EHD Well and Boring Permit applications with the fee for each. A <br /> completed and signed Master File Record form is also to be submitted with the permit <br /> applications. <br /> Additionally, the vapor or air sparge transmission lines/piping are to be either removed before <br /> well destruction activities or grouted in-place with neat Portland cement at the time of the well <br /> destructions. The EHD approves the dismantling and removal of the remediation equipment <br /> still onsite. Thank your for your patience in waiting for this approval. <br /> If you have any questions, please contact Mr. Michael Infurna at (209) 468-3454. <br /> Michael J. Infurna Jr., REHS Adrienne Ellsaesser, REHS <br /> Registered Environmental Health Specialist Acting Program Coordinator <br /> c: Mr. James L. Barton, Central Valley Regional Water Quality Control Board, <br /> Underground Storage Tank Unit, 11020 Sun Center Drive, #200, Rancho Cordova, CA <br /> 95670-6114 <br /> Mr. Kirk Larson, State Water Resources Control Board, Division of Cleanup Water <br /> Programs, Underground Storage Tank Program, PO Box 944212, Sacramento, CA <br /> 94244-2120 <br /> Mr. Rexford Smith, Horizon Environment Consulting, 4970 Windplay Drive, #C5, <br /> EI Dorado Hills, CA 95762 <br />
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