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SITE INFORMATION AND CORRESPONDENCE
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3500 - Local Oversight Program
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PR0543394
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
11/5/2018 3:46:15 PM
Creation date
11/5/2018 10:20:04 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0543394
PE
3528
FACILITY_ID
FA0003967
FACILITY_NAME
AT&T California - UE132
STREET_NUMBER
7644
Direction
N
STREET_NAME
ASHLEY
STREET_TYPE
Ln
City
Stockton
Zip
95212
CURRENT_STATUS
02
SITE_LOCATION
7644 N Ashley Ln
P_LOCATION
99
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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i <br /> l h <br /> i <br /> h <br /> i} <br /> i� <br /> 'f <br /> ,G <br /> COOPY <br /> k <br /> LETTER OF ACKNOWLEDGEMENT: Ali <br /> proposals anId reports submitted must be <br /> accompanied by a cover letter from the respo�nsib'�Ie party ( ies) which states, <br /> at a minimum, the following : ,I <br /> TO: gq <br /> N JOAQUIN COUNTY PUBLIC HEALTH SERVICES/ENVIRONMENTAL <br /> HEALTH DIVISION <br /> 1601 E. Hazelton Avenue <br /> P. 0. Box 2009 <br /> Stockton, CA 95201 j <br /> FROM: <br /> I (We) declare, under penalty of perjury, that the, information and/or <br /> recommendations contained in the attached proposal or report is/are true <br /> and correct, and that all work and reports whichIrequired geologic or <br /> engineering evaluations and/or judgements have been performed under the <br /> direction of an appropriately registered or certified professional. <br /> The attached <br /> proposal or report utilizes the "Regional Board Staff <br /> Recommendations For Initial Evaluation and Investigation of Underground <br /> Tanks" and "Appendix A" reporting format. The L&T 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 - <br /> 'f � <br /> 1 . Submit a Soil Contamination Work Plan and Soil Remediation <br /> Plan by to San ?oaquin County PHS/EHD. <br /> OR <br /> 2. Submit a Preliminary Report by <br /> to the San Joaquin County PHS/EHD and the Central Valley <br /> Regional Water Quality Control Board (CV RWQCB) . <br /> -------------------------------------------- <br /> signature and title k date <br /> i <br /> �F <br />
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