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June 22,2005 <br /> Dear Resident <br /> The following is an independent public health questionnaire to determine if any basements or municipal, <br /> domestic, or irrigation wells exist near the Intersection of 1160 West Yosemite Avenue and South Union <br /> Road,Manteca, California The San Joaquin County Environmental Health Department is requesting that <br /> we identify these features in the area as part of an ongoing environmental Investigation <br /> Please fill out the following information to the best of your knowledge if you do not know,,lust mark it <br /> 4-UNKNOWN' Even if there Is no well or basement at the address listed, please complete item 1 and <br /> return the survey in the postage-paid envelope provided Should you have any questions,please contact the <br /> Cambria Environmental Technology,Inc project manager listed below, or Victona L McCartney at the <br /> San Joaquin County Environmental Health Department at (209) 468-3456 This information can be <br /> submitted by mail,by facsimile or verbally by phone Thank you for your cooperation. <br /> CAMBRIA ENVIRONMENTAL TECHNOLOGY,INC <br /> Joe W Neely,PG <br /> Senior Project Geologist <br /> PO 6927 <br /> Phone (707)933-2361 <br /> Fax (707)935-6649 <br /> 270 Perkins Street <br /> Sonoma,California 95476 <br /> (1) PROPERTY ADDRESS 700 South Union Road.Manteca.California 95337 <br /> OWNER NAME ITuiEDAYTPHONE �� `� `" <br /> -TENANT NAME (if not owner) DAYTIME PHONE. <br /> (2)Are there any wells at the address fisted in item 1 (circle one) <br /> 05) UNKNOWN NO <br /> (3)Are there any wells in the vicinity of the address listed in item I (circle one) <br /> ® UNKNOWN NO <br /> (4)Are there any abandoned wells at the address listed in item 1 (circle one) G UNKNOWN NO <br /> Comments <br /> (5)Are there any basements at the address listed in item 1 (circle one) YES UNKNOWN NO <br /> If you answered"YES"to 2 or 3 above,please provide the following details,if possible If there is more than one well, <br /> please indicate which well you are describing "V, <br /> WELL ADDRFSS <br /> WELL OWNER �G <br /> WELT,WATER USE _ FREQUENCY OF USE. <br /> WELL DWME'TER <br /> WELL DEPTH <br /> WELL MATERIAL.(circle one) VC p astir steel r bnck/clay �other, <br /> SCREENED VUERVAL(S)OR PUMP DEPTH l O <br /> r <br /> DA'C'E OF INSTALLATION <br /> OTHER WORMAT10N <br /> 1660 <br />