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SITE INFORMATION AND CORRESPONDENCE
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EHD Program Facility Records by Street Name
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3500 - Local Oversight Program
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PR0545656
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
5/7/2020 12:12:43 PM
Creation date
5/7/2020 12:10:08 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545656
PE
3528
FACILITY_ID
FA0003654
FACILITY_NAME
ASSOCIATED ADJUSTMENT*
STREET_NUMBER
303
Direction
N
STREET_NAME
PILGRIM
STREET_TYPE
ST
City
STOCKTON
Zip
95201
APN
15112044
CURRENT_STATUS
02
SITE_LOCATION
303 N PILGRIM ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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Copy <br /> i. <br /> r <br /> I. <br /> I <br /> i <br /> i <br /> LETTER OF ACKNOWLEDGEMENT: All proposals and reports submitted must be i <br /> accompanied 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 of an 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 /> i <br /> 1. Submit a Soil Contamination Work Plan and Soil Remediation <br /> Plan by to San Joaquin County PHS/EHD. <br /> OR <br /> i <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 /> I <br /> --------------------------------- <br /> signature and title date Y -- <br /> i <br /> I� <br />
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