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SITE INFORMATION AND CORRESPONDENCE FILE 3
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PR0541989
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SITE INFORMATION AND CORRESPONDENCE FILE 3
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Last modified
6/21/2019 5:29:52 PM
Creation date
6/21/2019 3:23:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
FILE 3
RECORD_ID
PR0541989
PE
2950
FACILITY_ID
FA0024100
FACILITY_NAME
COUNTRY CLUB VALERO
STREET_NUMBER
2575
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12302012
CURRENT_STATUS
01
SITE_LOCATION
2575 COUNTRY CLUB BLVD
P_LOCATION
01
QC Status
Approved
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EHD - Public
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FILE COPY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> SANJOAQUIN COUNTY <br /> Unit Sttpervisnrs <br /> Donna K. Heran, R.E.H.S. Carl Borgman, R.E.H. S . <br /> Director Mike East Weber Avenue , Third Floor btike xuggins, R.E.H.S., R.D.I. <br /> Al Olsen, R.E.H.S. Stockton, California 95202-2708 Douglas W. Wilson, R . E.H.S . <br /> Program Manager Telephone : (209) 468 -3420 Margaret Lagorio, R.E.H.S , <br /> 9 IFORN <br /> Laurie A. CR.E.H.S. Fax: (209) 464-0138 Robert McClellon, R.E.H.S. <br /> Program <br /> M Mann ager Mark Barcellos, R.E.H. S .. <br /> KAREN PETRYNA <br /> SHELL OIL PRODUCTS US <br /> 20945 S WILMINGTON AVE <br /> CARSON CA 90810 <br /> RE : Shell-branded Station Site Code : 1070 <br /> 2575 Country Club Blvd , RO#: 0000484 <br /> Stockton , CA. , 95204 <br /> WORK PLAN : " Site Investigation Work Plan" , <br /> DATED : April 7 , 2004 <br /> PREPARED BY : Cambria Environmental Technology , Inc — Joe Neely , RG <br /> STATUS : APPROVED , (with conditions noted in comments) <br /> ADEQUATE AND NECESSARY ELEMENTS OF THE WORK PLAN fH &S <br /> 25299 . 37 , subd (c)(3)1 : <br /> Install one onsite monitoring well , " MW- 15 " , at first/shallow ground water <br /> zone and , <br /> Collect and " possibly" analyze soil samples for TPHg , BTEX, MtBE , EtBE , <br /> DIPE , TAME , TBA, EtOH , McOH , and lead scavengers 1 , 2-DCA and EDB <br /> and , <br /> Develop , survey, and submit report of findings to EHD . <br /> COMMENTS AND CONDITIONS : <br /> Submit a Well Permit Application Form and fee and , <br /> The report of findings for this phase of field work and all future report of <br /> findings are to be formatted in the context of a Site Conceptual Model , <br /> added to as data is gathered , and submitted to EHD immediately following <br /> the end of each phase of field work. <br /> REASONS FOR DISAPPROVAL OF THE WORK PLAN (H &S 25299 . 371 <br /> subd ( c) (3 )1 : <br /> none <br /> BY : d� <br /> M ' hael Infurna , Senior HS (209 468-3454 <br /> [ Faxed to consultant on : � �6 ' <br />
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