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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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1960
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2900 - Site Mitigation Program
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PR0517428
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SITE INFORMATION AND CORRESPONDENCE
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Entry Properties
Last modified
11/19/2024 10:19:51 AM
Creation date
9/3/2019 4:37:39 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0517428
PE
2950
FACILITY_ID
FA0013425
FACILITY_NAME
CHEVRON SERVICE STATION #201383
STREET_NUMBER
1960
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
23402001
CURRENT_STATUS
01
SITE_LOCATION
1960 W ELEVENTH ST
QC Status
Approved
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EHD - Public
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Michael J. Infurna Jr. <br /> Senior REHS San JoaquinCounty <br /> Site Mitigation Unit IV/ LOP Health Servicesq Environmental <br /> Fifth Floor Health Division........9fiPHS-EHD99 <br /> (209) 468-3454 0. E. Weber <br /> fax: (209) 468-3433 Stockton, CA., 95202 <br /> Irax <br /> From: MICHAEL INFURNA, SENIOR REHS <br /> To: Fax#: <br /> Pages: Phone: <br /> Date: Re: PAPERWORK FOR DRILLING AT NEW SITE <br /> •Comments: IN ORDER TO ISSUE THE BORING PERMIT(S)FOR THE WORK YOU ARE PROPOSING,THE <br /> FOLLOWING PAPERS WILL NEED TO BE COMPLETED,SIGNED,AND RETURNED TO PHS-EHD FOR REVIEW <br /> AND APPROVAL: <br /> 1. A WORK PLAN,COMPLETE WITH THE PHASE 1 INFORMATION(i.e.,above ground usage&history), <br /> 2. A SIGNED"UNIT IV-MFR"FORM PLUS A SEPARATE CHECK FOR$267(3 hours @$89 per)MADE OUT TO <br /> "PHS-EHD". THIS BILLING PARTY WILL RECEIVE THE MONTHLY BILL FOR ADDITIONAL CHARGES <br /> AFTER THE INITIAL$261 IS DEPLETED, <br /> 3. A BORING PERMIT APPLICATION FOR EACH PARCEL AND MATCHING$89 CHECK EACH and A SIGNED <br /> "LICENSED CONTRACTOR DECLARATION(LCD)SHOWING EXPIRATION DATES OF CERTS&LICENSES, <br /> 4. ANY CITY OR COUNTY ENCROACHMENT PERMITS OR PRIVATE PROPERTY ACCESS AGGREEMENTS. <br /> DO NOT SCHEDULE A DRILLING DATE UNTIL A PHS-EHD STAFF MEMBER ADVISES YOU THAT THE <br /> PERMIT(S)HAVE BEEN ISSUED. <br /> 5. SITES UNDER OTHER AGENCY(CVRWQCB or DTSC)OVERSIGHT MUST HAVE THE WORK PLAN AND <br /> THE APPROVAL TO START ON FILE WITH PHS-EHD PRIOR TO ISSUANCE OF THE BORING PERMIT(S). <br /> THE$261 FEE MAY BE WAIVED IF THE BILLING PARTY ON FILE WITH PHS-EHD IS STILL THE PARTY TO <br /> RECEIVE THE BILLING. <br /> e. SITES EXPECTING TO RECEIVE A"NO FURTHER INVESTIGATION REQUIRED"LETTER AT THE <br /> CONCLUSION OF THEIR INVESTIGATION ARE TO MAKE THIS OPTION KNOWN TO PHS-EHD AT THE <br /> BEGINNING OF THE SUBSURFACE INVESTIGATION. IF NO LETTER IS REQUESTED,PHS-EHD WILL NOT <br /> COMMENT ON THE RESULTS UNLESS CONTAMINATION IS DETECTED. <br /> sraraprr ovrowaocvnnurv:m.wra.�enmbw/swwene+WM+�uam,vway/n/mmim xiam/�N/.u.�✓u..ua�.xc.em u�mws�w.nw,ase.nw,n,.csma"m <br /> tiv YurtlLrayvil v W a'n✓hN o'gci,rvyw'Tk bJWvnb W XfvW rx{alnl puam M'e jrcIYW IM�nYtiwrrvu,FR ma�Yvi naWi^gtlYuWy/49hW Po'�m YYa lrw.vc4vl <br /> we/vx+.n.rv.s+w�•vrMabY MM'iu.Y^'S'Yb'^�m.nurJVYvf o,w.caremw wmun IFao�P^s' +aM b u M Mu eN..v Mow w INWM 9wu{FiJ Scum Nb W anW.a Yam <br /> mb PidByY9usY NmYq W ravgab i¢iM'i Yaa. <br />
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