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qr <br /> TO: SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES/ENVIRONMENTAL <br /> HEALTH DIVISION <br /> FROM: CHEVRON U.S.A. <br /> 2410 CAMINO RAMON <br /> SAN RAMON, CA 94583 <br /> RE: CHEVRON SERVICE STATION <br /> MAS LA <br /> I (We) declare, under penalty of perjury, that the information <br /> and/or recommendation contained in the attached proposal or <br /> report is true and correct. <br /> Furthermore, I (We) agree to the condition placed on the site <br /> referenced above in order that new installation of underground <br /> storage tanks may proceed. <br /> A. A Soil Contamination Workplan and Soil Remediation Proposal <br /> will be submitted by <br /> OR <br /> A Preliminary Report will be submitted to San Joaquin County <br /> Environmental Health Division and the Central Valley <br /> Regional Water Quality Control Board by B�Aj�l6 r�r� py <br /> B. option 1. The new tanks shall be installed in a <br /> new on site location in an uncontaminated area. <br /> OR <br /> option 2 . The suspect zone shall undergo an <br /> Immediate Source Removal, with the placement of clean fill <br /> material, prior to the placement of new tanks. <br /> The undersigned individual or individuals authorizes the <br /> continued investigation and acknowledges the conditions above and <br /> selection of one of the two options identified under Item B <br /> above. <br /> Signature an Title Date <br />