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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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12 (STATE ROUTE 12)
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3049
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3500 - Local Oversight Program
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PR0545717
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
11/19/2024 3:47:36 PM
Creation date
6/3/2020 11:12:25 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545717
PE
3528
FACILITY_ID
FA0003912
FACILITY_NAME
MARTINIS BAIT & TACKLE
STREET_NUMBER
3049
Direction
W
STREET_NAME
STATE ROUTE 12
City
LODI
Zip
95240
APN
02514016
CURRENT_STATUS
02
SITE_LOCATION
3049 W HWY 12
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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r <br /> LETTER OF ACKNOWLEDGEMENT: All proposals and reports submitted must be <br /> accompanied by a cover letter from the responsible party ( ies) which states, <br /> at a minimum, the following : <br /> ,k <br /> TO: SAN JOAQUIN COUNTY .PUBLIC HEALTH SERVICES/ENVIRONMENTAL <br /> HEALTH DIVISION <br /> 1601 E. Hazelton Avenue <br /> P. D. 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 evalluations and/or judgements have been performed .under the <br /> direction of aniappropriately registered or certified professional. <br /> The attached proposal or report utilizes the "Regional Board Staff <br /> Recommendations'1For Initial Evaluation and Investigation of Underground <br /> Tanks" and "Applendix 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 by . to San Joaquin County ' PHS/EHD. <br /> r <br /> OR <br /> 2. Submit Ja Preliminary Report" by <br /> to the San,' Joaquin County PHS/EHD and the Central Valley <br /> Regional Water Quality ControL'sBoard (CVRWQCB) . <br /> ------------------=-------------------------------------- --- ------------------------ <br /> ----------- <br /> andlltitle � date ---___-____ <br />
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