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SITE INFORMATION AND CORRESPONDENCE_FILE 1
Environmental Health - Public
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3500 - Local Oversight Program
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PR0545683
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SITE INFORMATION AND CORRESPONDENCE_FILE 1
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Last modified
5/20/2020 3:19:07 PM
Creation date
5/20/2020 3:05:08 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
FILE 1
RECORD_ID
PR0545683
PE
3528
FACILITY_ID
FA0005408
FACILITY_NAME
LANGSTON ARCO*
STREET_NUMBER
15615
Direction
E
STREET_NAME
SEVENTH
STREET_TYPE
ST
City
LATHROP
Zip
95330
CURRENT_STATUS
02
SITE_LOCATION
15615 E SEVENTH ST
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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i <br /> Czf�) o fLath>�'o OF Lq <br /> "✓ J .� Oc pp <br /> Public Works Department • <br /> 16775 Howland Road <br /> Lathrop, California 95330 ' <br /> (209) 858-2860, Ext. 328 <br /> Fax (209) 858-1023 <br /> N � <br /> . S <br /> Tony Mikacich Via Fax: <br /> Advanced GeoEnvironmental, Inc. 467-1118 <br /> 4005 North Wilson Way <br /> Stockton, Ca 95205 ppj <br />� 4 <br /> RE: Encroachment Permit for the Installation of two (2)Monitoring Wells <br /> Dear Tony: <br /> The above referenced permit will be approved with the following conditions: <br /> 1) The applicant shall provide the City of Lathrop Public Works Department <br /> with a formal written acknowledgement that this is a revocable permit and that the <br /> City may revoke this permit at any time. <br /> 2) The applicant shall provide the City of Lathrop Public Works Department with a <br /> copy of the County Environmental Health Permit, <br /> 3) The applicant shall pay an Encroachment Fee in the amount of$120.00. (Note: the <br /> City has received a check in the amount of$120.00 which covers this amount). <br /> 4) The applicant shall post a cash bond in the amount of$2,500.00 per well to insure <br /> the well is abated. <br /> a. (2)well x$2,500.00=$5,000.00 bond required. <br /> 5) The applicant shall pay an inspection fee in the amount of $300.00. <br /> a. Contract Inspector=$300.00 Inspection Fee <br /> 6) The applicant shall provide the City with a detailed work plan showing the location <br /> of the proposed wells and pay a Plan Check Fee in the amount of: <br /> a. 3 hours @$50.00 =$150.00 <br /> 7) The applicant shall pay a faithful performance bond in the amount of 20%of the j <br /> D:WYFILF„$15ECP.A.TAR\QXWXT CORY,1 MONITORING WELLS.DOC <br /> Z "d EZa L 858 6W dOdHlb1 d0 Al 13 H02id HdEV:V OOOZ-5Z-L <br />
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