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SITE INFORMATION AND CORRESPONDENCE
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3500 - Local Oversight Program
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PR0544118
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
2/8/2019 11:36:40 AM
Creation date
2/8/2019 11:20:15 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0544118
PE
3528
FACILITY_ID
FA0003951
FACILITY_NAME
LINDEN MEDICAL CENTER INC
STREET_NUMBER
4950
Direction
N
STREET_NAME
BONHAM
STREET_TYPE
ST
City
LINDEN
Zip
95236
APN
09126009
CURRENT_STATUS
02
SITE_LOCATION
4950 N BONHAM ST
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
WNg
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EHD - Public
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9FROM: REGINA M BOYLE FFX Na. : 204 524$811 �6 @1-72f lciit r .c <br /> .b. . ' Environmental Health Staff <br /> R_ Valinoti . Assistant airecGor <br /> Underground Storage -Tank Pro ram'1 <br /> Abandon Tank Pal icy (Tanks ,Abandoned prior to 7-1-84) <br /> 11 <br /> �p abrarre referenced abandoned tank policy will be implemented by Environmental <br /> .,alth Staff according to one of the following alts natives: <br /> r <br /> klternative 01 <br /> !. Provide a copy of the Fire Department (District) Permit to the San Joaquin <br /> Local Health District Division of Environmental ,Health. <br /> z, Provide a plot plan showing the name of property owner, facility address, <br /> parcel number, tank si ke' product stored, =thud of a6andQncnent and tank(s) <br /> f distance to all wells within 1.000 feet of the abandoned tank(s). <br /> l <br /> Alternative #2 <br /> i. Provide a recor�of materials purchased to abandon tanks s <br /> ' t, Provi da a plot plan showing thi name Of prapert'o owner. -facility address. . <br /> l parcel rumber, tank size, product stored, method of abandonment and taink(s} <br /> i distance to Al wells within 1000 feet of the a�aadaaed tank{c�.• <br /> ems' awr� r..:.stating-date tacnkabindoned.- <br /> 1. Provide.a signed stateawnt from the prop Y _ <br /> I. Provide a plat plan shavd ng the names of property ownar; facility address t <br /> ' parcel number, tank-size, product.stored,-methec of abandonment and tanks i <br /> 1 distance to all .wells within-1000 feet of the abandohed-tanks) . <br /> AZ1 -underground storage tanks abandoned after 7- 1-84 shall €ol ljW the procedures <br /> (Health <br /> abd.Safet Ccsde •Divisian.20, Chapter 1 .?R Section <br /> set b State Law. ( Y � <br /> F5298�j _ <br /> Y <br /> February 3, 1986 • 'j <br /> RLL:jw <br /> ,j <br /> 3 H } <br /> UGT 14 <br /> 000270 <br />
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