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SITE INFORMATION AND CORRESPONDENCE_FILE 1
EnvironmentalHealth
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5491
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3500 - Local Oversight Program
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PR0545028
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SITE INFORMATION AND CORRESPONDENCE_FILE 1
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Last modified
12/6/2019 2:59:14 PM
Creation date
12/6/2019 2:48:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
FILE 1
RECORD_ID
PR0545028
PE
3528
FACILITY_ID
FA0003919
FACILITY_NAME
VAN DE POL ENTERPRISES
STREET_NUMBER
5491
STREET_NAME
F
STREET_TYPE
ST
City
BANTA
Zip
95304
CURRENT_STATUS
02
SITE_LOCATION
5491 F ST
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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LETTER OF ACKNOWLEDGEMENT. All proy')osals and -reports submitted <br /> must be accompanied, by a cover letter from- the responsible <br /> party(ies) kthich states, at a minimum, the following: <br /> TO. SAN JOAQU.IN COUNTY P-bs is `HEALTH SERVICES <br /> tNVIRONMENTAL HEALTH DIVISION <br /> 1601 E. Hazelton Avenue <br /> P. O. Box 2000 <br /> Stockton, CA 95201 i' <br /> ,�4 <br /> l�(C o nlp a n.y �1 c31t1 r•) - --- f� <br /> (facility adcj):ens) <br /> I (We) declare, under penalty of perjury, that the information <br /> and/or recommendations contained in. ,the attached proposal or <br /> report is/are true and corx:ect, and �t.hat al:L work and reports <br /> which required geologic or engineering evaluations and/or <br /> judgments have been performed u.nder �the direction of an - <br /> appropriately registered or certified pr.ofes5ional. <br /> The attached proposal or report utilizes the "Regional Board <br /> Staff Recommendations For Initial Evaluation and Investigation of <br /> Un ground '.yanks" and "Appendix All reporting format. The LUFT <br /> Mar ha,:?, s:.lso been utilized as a 'ijidanc:e document.. i <br /> 3 <br /> Sgiire ai-id title date <br /> F <br /> RECEN111h <br /> JUN 8 1990 <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES <br /> ' j 1 <br />
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