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ARCHIVED REPORTS_XR0012576
EnvironmentalHealth
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3500 - Local Oversight Program
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PR0545483
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ARCHIVED REPORTS_XR0012576
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Entry Properties
Last modified
3/10/2020 9:04:49 PM
Creation date
3/10/2020 10:57:27 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012576
RECORD_ID
PR0545483
PE
3528
FACILITY_ID
FA0005939
FACILITY_NAME
MANTECA MULTIMODAL STATION
STREET_NUMBER
260
Direction
S
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
22102024
CURRENT_STATUS
02
SITE_LOCATION
260 S MAIN ST
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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rc <br /> s <br /> LETTER OF ACKNOWLEDGEMENT: j111 proposals and reparts submitted muststates, <br /> be <br /> accompanied by a cover letter from the r•rspansible party <br /> ies) whichat a •inimum, the following: <br /> TO: SAN JOAQUIN COUNIy PUBLIC WE:AI..TH SERVICES/ENV1R01,JMENTAL <br /> HEALTH DIVISION <br /> p. 0. Bax 200') <br /> Stockton, CA 9b201 <br /> (company name) <br /> RE <br /> (facility address) <br /> lty of perjury, that the information and/or <br /> , (We) declare, under pena <br /> recommendations contained in the attached prespasal or report is/are true <br /> ancl correct, and that -all work and reports whicn required geologic- or <br /> engineering evaluations and/or judgments have been performed undo l,the <br /> direction of an appropriately registered or cel-tified p <br /> The attached proposal ar report utilizes the "Regional board Staff <br /> The <br /> Recattached <br /> For Initial Evaluation and Investigatior, of Underground <br /> Tanks" and "Appendix A" reporting format. The I.UFT Manual has also been <br /> utilized as a guidance document- <br /> Furthermore, I (We) agree to submit, on the date noted, the f4llo�inq on the <br /> site(s) in que5t . un: <br /> 1. Submit a Soil Contamination Worl+ Flan and Soil Rem /EHD <br /> edun <br /> Plan by (date) .—-- to San Jo.:grrin County <br /> OR <br /> 2. Submit a preliminary Report by <br /> (dam <br /> to the San Joaquin County PHS/END and the Central Valley <br /> .'Regional .Water•. Quality.... Control Board (CVRWQC$) .. ............ _ _. <br /> Oat e <br /> signature and title <br />
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