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SITE INFORMATION AND CORRESPONDENCE
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3500 - Local Oversight Program
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PR0545315
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
2/11/2020 12:05:30 PM
Creation date
2/11/2020 9:46:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545315
PE
3528
FACILITY_ID
FA0003572
FACILITY_NAME
DAVES UNION SERVICE
STREET_NUMBER
1702
STREET_NAME
JACKSON
STREET_TYPE
ST
City
ESCALON
Zip
95320
APN
227-14-011
CURRENT_STATUS
02
SITE_LOCATION
1702 JACKSON ST
P_LOCATION
06
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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PLI'�LIC HEALTH SERVICES <br /> SAN JOAQUIN COUNTY =? <br /> JOGI KHANNA;QLD..MT H . <br /> Healck Officer <br /> P.O. Box 2009 • (I 601 East Hazelton Avenue) • Stockton, California 95201 4L f o R <br /> (209) 468-3400 <br /> SEP 16 1991 D <br /> MARGARET EKHOLM <br /> 1211 AVENUE G <br /> STERLING IL 61081 <br /> RE: Ekholm Property SITE CODE: 1955 <br /> 1702 Jackson CONTRACTOR 1: 39000 <br /> Escalon 95320 <br /> The attached "Notice of Reimbursement" is official notification <br /> r that your site has been assigned to the San Joaquin County Public <br /> Health Services, Environmental Health Division's Local UST <br /> Oversight Program for oversight of assessment and clean up <br /> activities at contaminated underground tank sites. <br /> Fees for review activities and inspections associated with <br /> contaminated site assessment activities will not be billed by <br /> this office. The State Water Resource Control Board (SWRCB) will <br /> invoice you directly for activities performed under the auspices <br />' of the Local UST Oversight Program. The goal of the site <br /> evaluation performed by Public Health Services Environmental <br /> Health Division (PHS/EHD) is to certify closures of underground <br /> tank leakage sites. Closure certification occurs only after <br /> mitigation activities are completed. <br /> A Letter of Acknowledgment is enclosed for your completion and <br /> return. Your acknowledgment of the placement of your site into <br /> the Local UST Oversight Program as stated above is respectfully <br /> requested. In addition, the individual or individuals <br /> authorizing the continued investigation shall provide <br /> identification with respect to their title of authority. <br /> In addition, this Acknowledgment indicates that the "Regional <br /> Board Staff Recommendations For Initial Evaluation and <br /> Investigation of Underground Tanks" and "Appendix All reporting <br /> format and the LUFT Manual will be utilized as guidance documents <br /> in the preparation of work plans and/or reports. <br /> Division of San Joaquin County Health Care Services � f <br />
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