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3500 - Local Oversight Program
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PR0545721
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
6/3/2020 11:38:08 AM
Creation date
6/3/2020 11:34:10 AM
Metadata
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Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545721
PE
3528
FACILITY_ID
FA0005425
FACILITY_NAME
LINDEN SHORT STOP
STREET_NUMBER
18974
STREET_NAME
MAIN
STREET_TYPE
ST
City
LINDEN
Zip
95236
CURRENT_STATUS
02
SITE_LOCATION
18974 MAIN ST
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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a <br /> COPY <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: `a <br /> A <br /> TO: SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES/ENVIRONMENTAL <br /> HEALTH DIVISION ` <br /> 1601 E. Hazelton Avenue <br /> P. 0. Box 2009 <br /> Stockton, CA', 95201 <br /> FROM: a <br /> r <br /> I (We) declare, under penalty of perjury, that the information and/or <br /> recommendationsAcontained 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, 1 (We) agree to submit, o'n 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 /> { <br /> OR Y; <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 /> signature and title date <br /> I <br /> Y' r <br />
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