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SITE INFORMATION AND CORRESPONDENCE
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2900 - Site Mitigation Program
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PR0507153
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SITE INFORMATION AND CORRESPONDENCE
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Entry Properties
Last modified
6/22/2020 9:25:55 AM
Creation date
6/22/2020 8:47:46 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0507153
PE
2950
FACILITY_ID
FA0007717
FACILITY_NAME
THRIFTY OIL #171
STREET_NUMBER
1250
Direction
N
STREET_NAME
WILSON
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
APN
11731001
CURRENT_STATUS
02
SITE_LOCATION
1250 N WILSON WAY
QC Status
Approved
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EHD - Public
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Is , <br /> 3 <br /> pj I <br /> Y <br /> ! 't <br /> F li <br /> II i <br /> 1 <br /> l I� i4 <br /> LETTER OF ACKNOWLEDGEMENT: All proposals and reports submitted must be <br /> accompanied by a cover letter 'from the responsible P party(ies) which states, at <br /> a minimum, the following: <br /> TO: SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES/ENVIRONMENTAL <br /> I' HEALTH DIVISION <br /> C- P. 0. Box 2009 I i <br /> Stockton, CA 95201 <br /> f i , <br /> FROM: it <br /> (company name) <br /> i <br /> RE., <br /> (facility address) 1 <br /> p <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 and <br /> correct, and that all work and reports which required geologic or engineering <br /> evaluations and/or judgments have been performed under the direction of an <br /> appropriately registered or certified professional. ; <br /> The attached proposal or report utilizes the "Regional Board Staff <br /> k. <br /> Recommendations For Initial Evaluation and Investigation of Underground Tanks" t <br /> and "Appendix A" reporting format. The LUFT Manual has also been utilized as <br /> E` a guidance document. <br /> 'I <br /> Furthermore, I(We) agree to submit, on the date:noted, the following on the <br /> site(s) in question: <br /> 44 1. Submit a Soil Contamination Work Plan a'nd SoPil Remediation <br /> Plan b (date) to San Joa <br /> f Y qulIin C Iunty PHS/EHD. <br /> AND/OR <br /> 2. submit a Preliminary Report by LdateO <br /> to the San Joaquin County PHS/EHD and the Central Valley <br /> Regional Water Quality Control Board (CVRWQCB) .i <br /> signature and title idate <br /> .E <br /> 3t <br /> I#� r <br />
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