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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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JACK TONE
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13475
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3500 - Local Oversight Program
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PR0545314
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
2/11/2020 10:29:58 PM
Creation date
2/11/2020 9:42:01 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545314
PE
3528
FACILITY_ID
FA0005333
FACILITY_NAME
JACKPOT
STREET_NUMBER
13475
Direction
N
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
LODI
Zip
95240
APN
06326004
CURRENT_STATUS
02
SITE_LOCATION
13475 N JACK TONE RD
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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I- J <br /> LETTER OF ACKNOWLEDGMENT: <br /> TO: SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> . 445 SAN JOAQUIN ST. <br /> P.:O. Box 2009 <br /> . . Stockton; CA 95201 <br /> FROM: I <br /> (company name) } <br /> r <br /> RE: <br /> (facility address) <br /> I(We) declare that the information and/or recommendations contained <br /> in any future proposal(s) or report(s) is/are true and correct, and <br /> that all work and reports which required geologic or engineering <br /> evaluations and/or judgments have . been performed under the <br /> direction of an appropriately registered or certified professional. <br /> Any. future proposal or report will utilize the "Regional Board <br /> Staff Recommendations For Initial Evaluation and Investigation of <br /> Underground Tanks_ " and "Appendix All reporting format. The LUFT <br /> Manual will also be utilized as a guidance document. <br /> i <br /> Furthermore , I (We) understand that the Local UST Oversight Program <br /> will evaluate our. mitigation activities on the site(s) in question <br /> for the purpose of closure certification and that the program is a <br /> cost recovery program: <br /> signature and title <br /> g date <br /> L <br /> �t <br /> � f <br />
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