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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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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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OCT D 5 <br /> CR A 33tH <br /> PLk[V.i1/SERVICES <br /> LETTER OF ACKNOWLEDGMENT: <br /> ;I <br /> TO: SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES i <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 445 SAN JOAQUIN ST. �f <br /> P.O. Box 2009 <br /> Stockton, CA 95201 i! <br /> FROM: _ <br /> _ .. (comp � _-nmea_ ) <br /> anv, ..� �-�-- <br /> RE: <br /> (facility address) <br /> I (We) declare that the information and/or recommendations contained <br /> in any future proposals) or reports) is/are true and correct 11L and <br /> that all work and reports which required geologic or engineering <br /> evaluations and/or judgments have been- performed underlIthe <br /> direction of an appropriately registered or certified professional. <br /> Any future proposal or report will utilize the "Regional Bpoard <br /> k 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 /> 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 programFis a <br /> r <br /> cost recovery program. <br /> signature and title date <br /> it <br /> ii <br /> • � li <br /> y � is <br />
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