FIELD DOCUMENTS_1998-2000 - Laserfiche WebLink

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AAML 40 SERVICE REQUEST T Faci_ lity ID Facility Name Recon -d ID 017872 Location 526 W. BEN HOLT, off for gregg .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. eeeeeeeE ?eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee Propert)eOwner MR. HENRY KAWAI BusineE.aas Name PRIVATE HOME OWNER Street Number Dir Street Name Type Unit ss. 526 W BENJAMIN HOLT DR 2nd Aoddress LINCOLN PROP-DRY CLNR INSURANCE CLAIM City 1900 POWELL ST, I2FLR State CA Zip 94608-1827 Phc1ne 1 510-652-4500 Ext APN 081-260-41 Phne 2 510-596-9602 Ext o Census 1 )00001 District 002 Location 01 Citycode Requ=., >stor DON BRADSHAW, FOR LEVFRKRCN Business Name GREGG IN-SITU, CPT C-57-656407 AddrF�ss 1 950 HOWE RD Addr( ,ss 2 City MARTINEZ, State CA Zip 94563- Phone "',umber 510-315-5800 Ext Nature of Service Request - CPT ON PRIVATE LANDOWNER SITE AT 526 W. BHD UNDER APPROVED WORK PLAN BY CVRWQCB AND CURRENT SIGNED ACCESS AGREEMENT ON FILE AT SERVICE REQUEST eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee Comments - PHS-EHD. LEVINE FRICKE RECON CONTACT IS DAN FOSTER AT 510-596-9602 AND LFR CHECK #40927 ($89) FOR THIS SR# . . CONCURRENT WITH AN "A-ZONE" WELL A AT SAME ADDRESS BY SPECTRUM UNDER SR#017871 AND OTHER LFR CHECK#40925 . Name Date Time Received By 0684 INFURNA, MICHAE 12/07/98 = _ Assigned To 0684 INFURNA, MICHAE 12/11/98 Date Service Completed _/_/_ Requires Further Action Y/N Y Amount paid 89 . 00 Program/Element 2901 Due date ' Oaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa� This record was entered on 12/11/98 By STAFF ° ° This record was last updated on 12/11/98 By STAFF ° aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaai