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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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3500 - Local Oversight Program
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PR0543389
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
11/1/2018 8:34:38 PM
Creation date
11/1/2018 10:32:56 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0543389
PE
3528
FACILITY_ID
FA0004512
FACILITY_NAME
MAJOR STATIONS
STREET_NUMBER
1235
Direction
E
STREET_NAME
ALPINE
STREET_TYPE
AVE
City
STOCKTON
Zip
95204
APN
11533055
CURRENT_STATUS
02
SITE_LOCATION
1235 E ALPINE AVE
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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i w <br /> i <br /> a! <br /> LETTER OF ACKNOWLEDGMENT: <br /> j k <br /> TO: SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 445 SAN JOAQUIN ST. <br /> P.O. Box 2409 <br /> Stockton, CA 95201 <br /> FROM: <br /> (company name) <br /> RE: <br /> (facility address) <br /> I (We) declare that the information and/or riecommendations contained <br /> in the attached proposal or report is/are true and correct, and <br /> that all work and reports which required1�geofogic or engineering <br /> evaluations and/or judgments have been performed under the <br /> direction of an appropriately registered or;certified professional. <br /> The attached proposal or report utilizes the "Regional Board Staff <br /> Recommendations For Initial Evaluationi� and Investigation of <br /> Underground Tanks" and "Appendix A" reporting format. The LUFT <br /> Manual has also been utilized as a guidance document. <br /> �} w <br /> Furthermore, I (We) understand that the Local UST Oversight Program <br /> will evaluate our mitigation activities on'jthe �lsite(s) in question <br /> for the purpose of closure certification and that the program is a <br /> cost recovery program. <br /> ,y <br /> signature and title # date <br /> k - <br /> f <br /> :J <br /> yy <br /> i <br />
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