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SITE INFORMATION AND CORRESPONDENCE_FILE 1
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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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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`r <br /> LETTER OF ACKNOWLEDGEMENT: All proposals and reports submitted <br /> must be accompanied by a cover letter from the responsible <br /> party(ies) which states, at a minimum, the following: <br /> TO: SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 1601 E. Hazelton Avenue <br /> P. O. Box 2009 <br /> Stockton, CA 95201 <br /> FROM: <br /> (company name) <br /> RE: <br /> (facility address) <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 correct, and that all work and reports <br /> which required geologic or engineering evaluations "and/or <br /> judgments have been performed under the direction of an <br /> appropriately registered or certified professional. <br /> The attached proposal or report utilizes the "Regional Board <br /> Staff Recommendations For Initial Evaluation and Investigation of <br /> Underground Tanks" and "Appendix All reporting format. The LUFT <br /> Manual has also been utilized as a guidance document. <br /> ----------------------------------------------------------------- <br /> Signature and title date <br /> i <br /> I <br /> { <br />
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