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SITE INFORMATION AND CORRESPONDENCE_CASE 1
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SITE INFORMATION AND CORRESPONDENCE_CASE 1
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Last modified
2/10/2020 4:59:51 PM
Creation date
2/10/2020 4:06:09 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
CASE 1
RECORD_ID
PR0545336
PE
3528
FACILITY_ID
FA0003776
FACILITY_NAME
KWIK SERV LODI BW 113*
STREET_NUMBER
420
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06202042
CURRENT_STATUS
02
SITE_LOCATION
420 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\sballwahn
Tags
EHD - Public
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PUBLIC HkALTH <br /> S <br /> SAN JOA s <br /> QUIN COUNTY ' <br /> ENVIRO <br /> NMENTAL HEALTH DIVISION <br /> Karen Furst M.D. q Z <br /> , M<P.H., Health Officer <br /> 304 East Weber Avenue rd Floor <br /> ' Thi • Stockton, CA 95202 ° <br /> 209/468-3420 <br /> WHILHEMIA BARBERA ETAL FILE C { <br /> C/O BANK OF CA TRUST/REAL ESTATE <br /> f P O BOX 45188 MAR 30 1099 <br /> SAN FRANCISCO CA 94145 <br /> h <br /> RE: TOKAY SHELL <br /> 420 W KETTLEMAN SITE CODE: 19061 <br /> LODI CA 95240 CONTRACTOR#: 3900 <br /> The attached "Notice of Responsibility" is official notification that your site has been assigned to <br /> the San Joaquin County Public Health Services, Environmental Health Division's Local Oversight <br /> Program for oversight of assessment and clean up activities at contaminated underground storage <br /> ,l tank sites. <br /> Our goal is to certify completion of corrective action at underground storage tank leakage sites <br /> pursuant to Califomia Code of Regulations, Division 3, Chapter 16, Article 11 (Corrective Action <br /> Regulations). These regulations govern the investigation and mitigation activities at leaking <br /> underground storage tank sites. To obtain a copy, please contact'ythe State Water Resources <br /> Control Board at(916) 657-2390. <br /> The"Tri-Regional Board Staff Recommendations For Preliminary Evaluation and Investigation of <br /> Underground Tank Sites" along with its "Appendix A" and"Appendix B" should be used as <br /> guidance documents. All work and reports which require geological or engineering evaluations , <br /> must be performed under the direction of an appropriately California registered or certified <br /> professional. ? <br /> zy A Remedial Action Completion letter will be provided after PHSIEHD has determined that <br /> no further site investigation or remedial action is required. <br /> If you have any questions or there are any corrections in the responsible party information, <br /> contact Harlin Knoll at(209)468-3442. <br /> Donna Heran, RENS, Director <br /> Environmental Health Division <br /> Harlin Knoll, Senior REHS Margare agorio, REH <br /> LOP/Site Mitigation Unit Supervisor <br /> H K:lb <br /> c: SWRCB, UST Section -Lori Casias <br /> C-. RWQCB, Central Valley Region -Mark List <br /> Other Responsible Party: <br /> c: Shell c/o Equilon <br /> P.O. Box 6249 <br /> Carson, CA 90749-6249 <br /> A division of San Joaquin County Health Care Services <br />
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