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SITE INFORMATION AND CORRESPONDENCE
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3500 - Local Oversight Program
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PR0543385
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
10/24/2018 9:46:33 PM
Creation date
10/24/2018 2:18:46 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0543385
PE
3528
FACILITY_ID
FA0002988
FACILITY_NAME
JIMMYS ONE STOP
STREET_NUMBER
30836
Direction
S
STREET_NAME
AIRPORT
STREET_TYPE
WAY
City
TRACY
Zip
95376
APN
24116002
CURRENT_STATUS
02
SITE_LOCATION
30836 S AIRPORT WAY
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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� r <br /> f <br /> 3 IM <br /> ' h <br /> ,r <br /> 3 <br /> LETTER OF ACKNOWLEDGEMENT: All proposals and reports submitted must be <br /> accompanied by a cover letter from the responsible party(ies) which states, <br /> at a minimum, the following: <br /> TO: SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES/ENVIRONMENTAL ' <br /> HEALTH DIVISION <br /> P. O. Box 2009 <br /> Stockton, CA 95201 i <br /> r <br /> FROM: k <br /> (company name) <br /> RE: <br /> (facility address) p - <br /> i <br /> I (We) declare, under penalty of perjury, that the J nformation and/or <br /> recommendations contained in the attached proposal or report is/are true <br /> and correct, and that all work and reports which 'required geologic or <br /> engineering evaluations and/or judgments have beef performed under the <br /> direction of an appropriately registered or certified professional. <br /> a <br /> 7 <br /> The attached proposal or report utilizes the ''Regional Board Staff <br /> Recommendations For Initial Evaluation and Investigation of Underground <br /> Tanks" and "Appendix A" reporting format. Th�eLUFT Manual has also been <br /> utilized as a guidance document. <br /> Furthermore, I (We) agree to submit, on the date noted, the following on the <br /> site (s,) in question: I <br /> �t <br /> 1. Submit a Soil Contamination Work Plan and;} Soil Remediation t <br /> P1;an by (date) to San JoaquinCounty PHS/EHD. j <br /> I <br /> OR <br /> 2.. Submit a Preliminary Report by }. _ 9 (date) ' <br /> to the San Joaquin County PHS/EHD and the Central Valley <br /> Regional Water Quality Control Board (CVRWQC,B) . <br /> � � s <br /> signature and title I'. ° date <br /> I <br />
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