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3500 - Local Oversight Program
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PR0544300
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
4/2/2019 4:12:50 PM
Creation date
4/2/2019 3:23:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0544300
PE
3528
FACILITY_ID
FA0003855
FACILITY_NAME
TESORO (SHELL) 68153
STREET_NUMBER
2448
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
05814001
CURRENT_STATUS
02
SITE_LOCATION
2448 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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. 1 <br /> 140 <br /> PUBLIC HEALTH SET--'ICES <br /> SAN JOAQUIN COU TY <br /> JOGI KHANNA M.D.,141H. <br /> Health Officer <br /> P.O. Box 2009 . (1601 East Hazelton Avenu ) c4�j;E <br /> Stockton,California 95201 <br /> (209) 468-340 <br /> September 20, 1990 <br /> Glenn Dembroff ply <br /> Ultramar, Inc. <br /> P.O. Box 466 <br /> Hanford, CA 93232-0466 <br /> RE: Fast Gas SITE CODE: 1948 <br /> 800 E. Hwy. t2 CONTRACTOR #: 39000 <br /> Lodi, CA 95240 <br /> The attached "Notice of Reimbursement" is official notification that your site has been assigned to the San <br /> Joaquin County Public Health Services, Environmental Hea th Division's Local UST Oversight Program i <br /> for oversight of assessment and clean up activities at contaminated underground tank sites. <br /> Fees for review activities and inspections associated with contaminated site assessment activities will not be <br /> billed by this office. The State Water Resource Control Board (SWRCB) will invoice you directly 1i)r <br /> activities performed under the auspices of the Local UST Oversight Program. The goal of the site <br /> evaluation performed by Public Health Services Environmental Health Division (PHS/EHD) is to certify <br /> closures of underground tank leakage sites. Closure certification occurs only after mitigation activities are <br /> completed. <br /> A Letter of Acknowledgment is enclosed for your completio i and return. Your acknowledgment of the <br /> placement of your site into the Local UST Oversight Progr m as stated above is respectfully requested. In <br /> addition, the individual or individuals authorizing the contif ued investigation shall provide identification <br /> with respect to their title of authority. <br /> In addition, this Acknowledgment indicates that the Ttegio al Board Staff Recommendations For Initial <br /> Evaluation and Investigation of Underground Tanks" and "Appendix A" reporting format and the LUFT <br /> Manual will be utilized as guidance documents in the preparation of work plans and/or reports. <br /> If you have any questions or there are any corrections in the responsible party information, contact <br /> Eleanor Ratliff, REHS, at (209) 468-3454. <br />` Jogi Khanna, M.D., M.P.H. <br /> ealth Officer <br /> 4 i►[J� <br /> Laurie A. Cotulla, REHS, Pr)gram Manager { <br /> Environmental Health Division <br /> LACIER:nr <br /> Enc. - <br /> c: SWRCB, Underground Storage Tank Section <br /> k c: CRWQCB, Central Valley Region <br /> ivision of San Joaquin County Hea th Care Services (ps- <br /> - - ..- <br />
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