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Environmental Health - Public
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2900 - Site Mitigation Program
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PR0506509
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
6/1/2020 12:26:14 PM
Creation date
6/1/2020 12:12:07 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0506509
PE
2960
FACILITY_ID
FA0007466
FACILITY_NAME
GEORGIA PACIFIC CORP (FORMER)
STREET_NUMBER
75
Direction
W
STREET_NAME
VALPICO
STREET_TYPE
RD
City
TRACY
Zip
95336
APN
24613007
CURRENT_STATUS
01
SITE_LOCATION
75 W VALPICO RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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Mike Infurna <br /> T <br /> To: rhammond@ameinc.net <br /> Subject: San Jaoquin County forms for drilling (Geo-Pac) <br /> nice talking with you just a while ago. <br /> I've attached some forms that are required so I may issue the boring/well permit. <br /> 1-An 'info'sheet that explains the forms and is in a"fax"format. It details how and why. <br /> 2-There's an actual "Well Permit Application"also. Use it as a master and copy it as you need it. Submit with a separate <br /> $89 check. <br /> 3-There's also a 'back-page'of the permit application, the"Licensed Contractor Declaration-LCD". This is for the driller <br /> only and only the driller, C-57, can sign it. I included it in case your driller doesn't have it/can't find it. OK to fax it to them. <br /> 4-The"Master File Record-MFR" identifies the land owner(on top), the facility(Geo-Pac) in the middle, and the bottom <br /> "3rd Party" is for a different entity that will receive our billing every 30 days. This is where you list AME and sign. This <br /> MFR is to be submitted with a 'pre-payment'of$267 (3 hours @ $89 per)for all 'new' billing parties. <br /> Once I get a copy of the CVRWQCB work plan approval letter and have ALL of the 4 items above, I can issue the permit. I <br /> recommend you 'fax'a copy of the permit application you plan to send to me to your driller at the time you send it to <br /> me..Gregg Drilling really likes to see it before they sign the LCD and send it to me. <br /> Typically I can issue the permit within 1-2 days after receipt at my desk..Allow 5-7 working days for it to get to my desk <br /> from the time you mail it. I will call you after I issue it so we may discuss drilling dates...I am very busy with other drillers <br /> now...nice weather, I guess. <br /> The permit and forms are 'ane-paged'docs. Margins on your printer may not be similiar to ours. The permit sometimes <br /> comes out on a page and a quarter. Just widen your right margin so it prints on a typical 8-1/2"X 11" piece of paper in <br /> case it gets it's bottom cut off. <br /> Good luck with the forms..Call if you have questions. My desk phone#and fax#are both 24hrs/7days a week. <br /> C <br /> FAX-INFO.DOC WELL-PERMIT-APPL. LCD-contractor MFR-UNIT IV.DOC <br /> doc declaration+au... <br /> 1 <br />
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