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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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BENJAMIN HOLT
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2900 - Site Mitigation Program
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PR0530063
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
2/6/2019 3:55:34 PM
Creation date
2/6/2019 3:42:59 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0530063
PE
2957
FACILITY_ID
FA0019769
FACILITY_NAME
FORMER SHELL GAS STATION
STREET_NUMBER
3011
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95219
APN
10018010
CURRENT_STATUS
01
SITE_LOCATION
3011 W BENJAMIN HOLT DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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PUBLIC HEALTH SERV ICES <br /> SAN JOAQUIN COUNTY <br /> JOGI KHANNA�[D.M.P H <br /> Health Officer o�� <br /> P.O. Box 2009 • (1601 East Hazelton Avenue) • Stockton,California 95201 <br /> doa <br /> ci <br /> (209) 468-3400 <br /> DIANE LINDQUIST <br /> SHELL OIL COMPANY MAR 23 199% <br /> P O BOX 4023 <br /> CONCORD CA 94529 <br /> SITE CODE: 1883 <br /> RE: SHELL OIL STATION CONTRACTOR #: 39000 <br /> 3011 W BENJAMIN HOLT DRIVE <br /> STOCICTON CA 95207 <br /> ed <br /> A review and evaluation Aegis <br /> &tom aleInc.indicat s that petroleum hydrocarbons wte Assessment Results Repore ere detected in <br /> theril <br /> soil <br /> submitted risk <br /> Aegis <br /> the soil that pose a risk to the shallow groundwater at your Further investigation will be required <br /> to determine if groundwater beneath your site has been impacted. <br /> The attached 'Notice of Reimbursement' is official notification that your site has been assigned to the <br /> San Joaquin County Public Health Services, Environmental Health Division's Local UST Oversight <br /> Program for oversight of assessment and dean up activities at contaminated underground tank sites. <br /> Fees for review activities and inspections associated with contaminated site assessment activities will not <br /> be billed by this office. The State Water Resource Control Board (SWRCB) will invoice you directly for <br /> activities performed under the auspices of the Local UST Oversight Program. The goal of the site <br /> to certify <br /> evaluation performed by Public Health Services Environmental Health Division (PHS/EI ID) activities <br /> closures of underground tank leakage sites. Closure certification occurs only after mitigation <br /> are completed. <br /> A Letter of Acknowledgment is enclosed for your completion and return. Your acknowledgment of the <br /> placement of your site into the Local UST Oversight Program as stated <br /> above <br /> b ve is respecshall f oxide requested. <br /> In addition, the individual or individuals authorizing <br /> the identification with respect to their tide of authority. <br /> In addition, this Acknowledgment indicates that the 'Regional Boar Staff <br /> porting forRecommmat the LUFT <br /> ons For Initial <br /> Evaluation and Investigation of Underground Tanks' and'Appendix <br /> Manual will be utilized as guidance documents in the preparation of work plans and/or reports. <br /> If you have any questionsor there are any corrections in the responsible party information, contact <br /> Michael Infurna, REHS, at (209) 468 3454. <br /> Jogi Khanna, M ., M.P.H. <br /> Health Offic G� <br /> A. Cotulla, Program Manager <br /> onmental Health Division <br /> C/Mi:lb <br /> Enc. <br /> c: SWRCB, Underground Storage Tank Section <br /> c: CRWQCB, Central Valley Region <br /> . A Division of San fmquin County Health Care bCMC s <br />
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