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SITE INFORMATION AND CORRESPONDENCE_FILE 1
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SITE INFORMATION AND CORRESPONDENCE_FILE 1
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Last modified
6/24/2019 10:23:11 AM
Creation date
6/24/2019 9:26:34 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
FILE 1
RECORD_ID
PR0544595
PE
3528
FACILITY_ID
FA0002048
FACILITY_NAME
TESORO (Shell) 68221(WRR 6290)
STREET_NUMBER
2705
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12121008
CURRENT_STATUS
02
SITE_LOCATION
2705 COUNTRY CLUB BLVD
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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PUBLIT HEALTHSERVICES �oaau�!y .ca <br /> SAN JOAQUIN WL'NIY 4 <br /> 10G1 KHANN,A`1.D..I,i.P H. <br /> Health Offuer <br /> P.O. Box 2009 • (1601 East Hazelton Avenue) Stockton, California 95201 c4e/ko•Rvi P <br /> q (209) 468-3400 <br /> DEBBIE HARRIS <br /> EXXON COMPANY USA <br /> P O BOX 4386 <br /> HOUSTON TX 77210-4386 <br /> RE: Exxon #73708 SITE CODE: 1072 <br /> 2705 W. Country Club CONTRACTOR #: 39000 <br /> Stockton CA 95204 <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 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 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 /> 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 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 <br /> information, contact Michael Infurna, REHS, at 468-3454. <br /> Jogi Khanna, . ., M.P.H. <br /> Health Off <br /> La ie A. Cotulla, REHS, Program Manager <br /> / R vironmental Health Division <br /> LAC/Ml:lb <br /> Eric. <br /> c: SWRCB, Underground Storage Tank Section <br /> c: CRWQCB, Central Valley Region <br /> A Division of San Joaquin Counav Hcalth Care ticniccs <br />
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