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2900 - Site Mitigation Program
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PR0503634
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
5/7/2019 4:40:56 PM
Creation date
5/7/2019 4:15:53 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0503634
PE
2950
FACILITY_ID
FA0005914
FACILITY_NAME
VICTOR ROAD SHELL
STREET_NUMBER
880
STREET_NAME
VICTOR
STREET_TYPE
RD
City
LODI
Zip
95240
APN
04905032
CURRENT_STATUS
02
SITE_LOCATION
880 VICTOR RD
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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PUBLIC HEALTH SERVICES <br /> SANJOAQUIN COUNTY r` Q <br /> b: <br /> IOGI KHANNA MD.M.P H. <br /> Health Officer c... P <br /> P.O. Box 2009 0 (1601 East Hazelton Avenue) <br /> • Stockton, California 95201 °cf coed <br /> (209) 468-3400 <br /> SEP 0 3 1993 <br /> DATE: <br /> TO: David L. Poulsen <br /> Project Geologist <br /> Aegis Environmental, Inc. <br /> t <br /> C ' <br /> FROM: Donna Hera19; Program Manager <br /> Site Mitigation Unit <br /> Environmental Health Division <br /> RE: Shell Service Stations <br /> 880 Victor Rd. , Lodi <br /> 4315 Waterloo Rd. , Stockton <br /> A request for a report review of activities at the above referenced <br /> facilities has been received by our office. <br /> We are unable to process this submittal until the following is <br /> provided: <br /> X Minimum review fee of 234 (see attached Fee schedule) <br /> per site. <br /> Monitoring well/soil boring permit application fee of <br /> S <br /> A completed "Site Mitigation/Request for Services Form" <br /> signed by person, or authorized representative of person, <br /> responsible for payment of hourly charges. (Form EH 29 <br /> 01 attached) . <br /> A copy of "Guidelines for Work Plan and Report Submittal" <br /> which includes appropriate forms and fee schedule is <br /> included for your reference. <br /> If the requested information and/or fees are not submitted within <br /> 30 days of the date of this letter, this request will be considered <br /> canceled and the submitted information disregarded. <br /> If you have any questions, please contact Steve Sasson, Senior <br /> REHS, of my staff at (209) 468-0339 , or myself at (209) 468-3450 . <br /> A Division of V JoAqum('uunry Hew (ire 5etvicfm �� <br />
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