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3500 - Local Oversight Program
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PR0545776
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
5/28/2020 4:51:36 PM
Creation date
5/28/2020 4:36:28 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545776
PE
3528
FACILITY_ID
FA0002231
FACILITY_NAME
JACK FROST ICE SERVICE
STREET_NUMBER
425
Direction
N
STREET_NAME
UNION
STREET_TYPE
ST
City
STOCKTON
Zip
95205
APN
15112003
CURRENT_STATUS
02
SITE_LOCATION
425 N UNION ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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' p 1 <br /> { 3 <br /> r <br /> op <br /> 3 <br /> viii i' 11 <br /> LETTER OF ACKNOWLEDGEMENT: A111propnsals and reports submitted must be <br /> accompanied by a cover letter fromithe responsible party (;i es) which states, <br /> at a minimum, the following : <br /> TO: SAN JOAQUIN COUNTY PUBLIC '{HEALTH SERVICES/IENVIRONMENTAL <br /> HEALTH DIVISION <br /> 1601 E. Hazel toni}Avenue <br /> P. O. Box 2009 'F <br /> Stockton, CA 95201 <br /> FROM: <br /> I (We) declare, under penalty ofi perjury, "that the information and/or, <br /> recommendations contained in the attached proposal or report is/are true i <br /> and correct, and that all work and report's 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 /> i, i3 li <br /> The attached proposal or report `°utilizes ,the "Regional "Board Staff <br /> Recommendations For Initial Eva1'uation anis Invest iga "ion 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 submSrit, .;, on the date noted,, the following on the <br /> site (s) in question : <br /> 1. Submit a Soil Contaminaf-ion'`Work Plan and Soil Remediation <br /> Plan by (date) to'! San: Joaquin County PHS/EHD. j <br /> !2 <br /> OR <br /> 3i: I <br /> 2. Submit a Preliminary poRe I.. rt - b y <br /> (date) <br /> to the San Joaquin County PHS/EHD and the Centrad Valley <br /> Regional Water Quality Cont'r' ol,,,' <br /> Boardii (CVRWQCB) . .; <br /> 3 ' <br /> signature and title <br /> s = date <br /> ;, L lil <br />
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