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2900 - Site Mitigation Program
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PR0508110
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
2/14/2020 4:11:40 AM
Creation date
2/13/2020 9:53:06 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0508110
PE
2950
FACILITY_ID
FA0006134
FACILITY_NAME
POMBO RANCH
STREET_NUMBER
24100
Direction
S
STREET_NAME
LAMMERS
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
24002002
CURRENT_STATUS
01
SITE_LOCATION
24100 S LAMMERS RD
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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P.O. Box 576981 <br /> M.J. Kloberdanz & Associates Modesto, California 95357-6981 <br /> Environmental Services Phone: (209) 577-8186 <br /> Fax: (209) 577-8158 <br /> 'E <br /> MAR 18 2003 March 13, 2003 <br /> Ernest J Pomba Jr. ENVIRONMENT HEALTH <br /> 1755 11th StreetPERMIT/SERVICES <br /> Tracy, CA 95376 <br /> RE: Pombo Ranch Property at 24100 S. Lammers Road, Tracy, California <br /> =order--tw dieter nir =eli i�3l�ity`fG=i�13Yib�lr3eITi nt�af-eleat�ap�etraiti s=at ille-above _ _ --� _ _w <br /> referenced property you will need to submit a cc pleted and signed copy of the attached <br /> application. In order to expedite compliance with the San Joaquin County Environmental <br /> Health Department (SJEHD) directive of January 27, 2003 please complete the attached <br /> Cleanup Fund application form, where indicated, and mail it back to me. I will re-type <br /> the form and include a description of activities to late, site map, and obtain the necessary <br /> attachments from SJEHD. <br /> To support your claim as a small business, ClaE s B, at the time of submission of the <br /> application you will need to attach to the signed pplication complete, signed and dated, <br /> copies of your individual income tax returns (Form 1040) for the three control years <br /> including all of your Schedules (A, B, C, etc.); Forms (4797, 6252, 2119, etc.); and <br /> accompanying Statements. You can attach this material to the application after I have <br /> prepared it for your signature; for privacy. If a partner is involved, or if you are a <br /> corporation, please contact us for additional direction for the type of tax returns needed <br /> when filling the application. <br /> Sincerely, <br /> Michael J. Kloberdanz, REA, REHS <br /> M.J. Kloberdanz & Associates <br /> cc: Bright Development <br /> Lori Duncan-SJEHD w/o attachments , <br />
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