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• SERVICE REQUEST • <br /> ,Facility ID Facility Name <br /> Record ID 017871 Location 526 W. BEN HOLT, off, SPECTRUM <br /> • eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee <br /> Property Owner HENRY KAWAI <br /> Business Name <br /> Street Number Dir Street Name Type Unit <br /> 526 W BENJAMIN HOLT DR <br /> 2nd Address <br /> City State _ Zip - <br /> Phone 1 _-_- Ext APN 081-260-41 <br /> Phone 2 _-_- Ext <br /> Census 000001 District Location _ Citycode <br /> Requester LEVINE FRICKE, DON BRADSHAW <br /> Business Name SPECTRUM DRILL, C-57-512268 <br /> Address 1 2365 WIGWAM DR <br /> Address 2 <br /> City STOCKTON, State CA Zip 95205- <br /> Phone Number 209-465-8712 Ext <br /> Nature of Service Request - <br /> "A-ZONE" SHALLOW MONITORING WELL #116 ON PRIVATE PROPERTY FOR <br /> OFFSITE LINCOLN CENTER DRY CLEANER INVESTIGATION UNDER APPROVED <br /> SERVICE REQUEST <br /> eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee <br /> Comments - <br /> CVRWCB WORKPLAN AND CONCURRENT WITH OTHER CPT' S AND "B-ZONE" WELL AT SA <br /> ME TIME UNDER SR#017872 FOR GREGG IN SITU C-57 . THIS SPECTRUM WELL IS <br /> BY LFR CHECK #40925 . ACCESS AGREEMENT SIGNED AND ON FILE WITH PHS-EHD, <br /> Name Date Time <br /> Received By 0684 INFURNA, MICHAE 12/07/98 _ <br /> Assigned To 0684 INFURNA, MICHAE 12/11/98 <br /> Date Service Completed _/_/_ Requires Further Action Y/N Y <br /> Amount paid 89 . 00 Program/Element 2901 <br /> Due date <br /> Oaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa <br /> ° This record was entered on 12/11/98 By STAFF 0 <br /> ° This record was last updated on 12/11/98 By STAFF <br /> aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaadaaaadaaaaaaa3aaaaaaaaaaaaaaaaal <br />