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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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ESCALON BELLOTA
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15658
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3500 - Local Oversight Program
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PR0544808
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
9/5/2019 9:46:32 AM
Creation date
9/5/2019 9:36:13 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0544808
PE
3528
FACILITY_ID
FA0005067
FACILITY_NAME
DERICKSON TRUCKING
STREET_NUMBER
15658
Direction
S
STREET_NAME
ESCALON BELLOTA
STREET_TYPE
RD
City
ESCALON
Zip
95320
APN
22908045
CURRENT_STATUS
02
SITE_LOCATION
15658 S ESCALON BELLOTA RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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_4 <br /> fY <br /> PUBLIC HEALTH �N <br /> SERVICES <br /> SAN JOAQUIN COUNTYa <br /> JOGI KHANNA M.D.,M.P.H. <br /> Health Officer <br /> P.O. Boz 2009• (1601 Fast Iia Avcme)• i e� <br /> Seodctoo,C.atifocela 95201 ��+..Yi i <br /> (209)468-3400 <br /> DAVID DERICKSON <br /> DERICKSON TRUCKING <br /> i 14658 S ESCALON BELLOTA RD <br /> ESCALON CA 95320 FEB 10199 <br /> RE: DERICKSON TRUCKING SITE CODE: 1566 <br /> 15658 S ESCALON BELLOTA RD CONTRACTOR #: 39000 <br /> ESCALON CA 95320 <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 thtis 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 Environmeatal Health Division (PHS/EHD) is to certify <br /> closures of underground tank leakage sites, Cio M cerdficaflon oeaus only alter asitfpdm activltks are <br /> completed. <br /> In addition, the'Raglonal Board Staff Recommendations For Initial Evaluation and Investigation of <br /> Underground Tanks•and-Appendix A" reporting format and the LUFT Manual shall be utilized as <br /> 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 information,contact <br /> Michael Collins, EHS,at (209) 468.0338. <br /> Jogi Khanna, IYLD.,JKP.H. <br /> Health Officer"' <br /> i <br /> Lirurle A Cotulla, REHS,Program Manager <br /> vironmental Health Division <br /> LACr?' <br /> Enc. <br /> YC.. SWRCB, Underground Storage Tank Section <br /> C. CRWQCB, Central Valley Region <br /> , mon or San Joaquin Commy told+Cwe Sewices <br />
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