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3500 - Local Oversight Program
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PR0544475
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
5/17/2019 3:43:21 PM
Creation date
5/17/2019 3:10:19 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0544475
PE
3528
FACILITY_ID
FA0003602
FACILITY_NAME
TESORO (SHELL) 68151
STREET_NUMBER
35
Direction
N
STREET_NAME
CHEROKEE
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04318003
CURRENT_STATUS
02
SITE_LOCATION
35 N CHEROKEE LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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S� t V <br /> PUBLIC HEALTHSERVICES <br /> SAN JOAQUIN COUNTY 2: <br /> JOGI KHANNA M.D.,M.P.H " , ;` <br /> Health Officer <br /> P.O. Box 2009 . (1601 East Hazelton Avenue) . Stockton,California 95201 c9<�FOR��P <br /> (209) 468-3400 <br /> October 3, 1990 <br /> Glenn Dembroff <br /> Ultramar, Inc. <br /> P.O. Box 466 <br /> Hanford, CA 93232 <br />` RE: Beacon Station #502 SITE CODE: 1320 <br /> 35 N. Cherokee 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 Health Division's Local UST Oversight Program <br /> -for oversight of assessments and clean up activities at'contaminatedi underground tank sites. <br /> Fees for review activities and inspections associated with contaminaked site assessment activities will not be <br /> billed by this office. The State Water Resource Control Board (SW'WRCB) will invoice you directly for <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 completion and return. Your acknowledgment of the <br /> placement of your site into the Local UST Oversight Program as stated above is respectfully requested. In <br /> addition, the individual or individuals authorizing the continued investigation shall provide identification <br /> with respect to their title of authority. <br /> t In addition, this Acknowledgment indicates that the "Regional Board Staff Recommendations For Initial <br /> Evaluation and Investigation of Underground Tanks" and "Appendix A" reporting format and the LUIFT <br /> Manual will be utilized as guidance documents in the preparation ;If 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 /> U�c <br /> Laurie A. Cotulla, REHS, Program Manager <br /> Environmental Health Division <br /> LAC/ER:nr <br /> Enc. <br /> c: SWRCB, Underground Storage Tank Section <br /> c: CRWQCB, Central Valley Region <br /> 4'_ <br /> -a <br />�` "' Division of San Joaquin County Health Care.Services <br />
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