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SITE INFORMATION AND CORRESPONDENCE_CASE 1
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SITE INFORMATION AND CORRESPONDENCE_CASE 1
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Last modified
3/13/2020 11:56:44 AM
Creation date
3/13/2020 11:13:54 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
CASE 1
RECORD_ID
PR0545492
PE
3528
FACILITY_ID
FA0000309
FACILITY_NAME
MCHENRY STATION & MINI MART
STREET_NUMBER
1405
STREET_NAME
MAIN
STREET_TYPE
ST
City
ESCALON
Zip
95320
CURRENT_STATUS
02
SITE_LOCATION
1405 MAIN ST
P_LOCATION
06
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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i <br /> i <br /> i <br /> i <br /> l <br /> i <br /> LETTER OF ACKNOWLEDGEMENT: All proposals and reports submitted must be <br /> accompanied 'I,by a cover letter from the responsible' party ( ies) which states, <br /> at a minimum;, the following: <br /> TO: SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES/ENVIRONMENTAL <br /> HEALTH DIVISION <br /> 1601 E. Hazelton Avenue <br /> P. O. Box 2009 <br /> Stockton, CA 95201 <br /> FROM: <br /> I (We) declare, under penalty of perjury, that the information and/or <br /> recommendations contained in the attached proposal or report is/are true <br /> and correct, , and that . all work and reports which required geologic or <br /> engineering 'evaluations and/or judgements have been performed under the <br /> direction ofllan appropriately registered or certified professional. <br /> The attached',' proposal or report utilizes the "Regional Board Staff <br /> Recommendations For Initial Evaluation and Investigation of Underground <br /> Tanks" and "Appendix A" reporting format. The LUFT Manual has also been <br /> utilized as a guidance document. <br /> Furthermore, :' I (We) agree to submit, on the date noted, the following on the <br /> site (s) in question: <br /> 1. Submit a Soil Contamination Work Plan and Soil Remediation <br /> Plan bylj to San Joaquin' County PHS/EHD. <br /> OR <br /> 2. Submit a Preliminary Report by <br /> to the San Joaquin County PHS/EHD and the Central Valley <br /> Regional Water Quality Control Board (CVRWQCB) . <br /> ------------;;------------------------------------------------------------ <br /> signature and title date <br /> it <br />
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