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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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4 , <br /> i' <br /> I � I <br /> r <br /> � I <br /> I� Ji <br /> LETTER OF ACKNOWLEDGEMENT: All proposals and report's submitted must be <br /> accompanied by a cover letter 'from the responsible party(ies) which states, at <br /> a minimum, the following: ff <br /> TO: SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES/ENVIRONMENTAL <br /> HEALTH DIVISION �$ <br /> P. O. Box 2009 <br /> Stockton, CA 95201 <br /> k FROM: <br /> (company name) i <br /> i <br /> s <br /> RE: <br /> (facility address) I <br /> I <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 judgchents 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 /> Recommendations For Initial Evaluation and Investigation of Underground Tanks" <br /> and "Appendix A" reporting format. The LUFT Manual has also been utilized as <br /> a guidance document. <br /> E <br /> Furthermore, I(We) agree to submit, on the date`'noted, the following on the J <br /> site(s) in question: i ! <br /> 1. Submit a Sail Contamination Work Plan and Soil Remediation <br /> Plan by (date) to San Joaquin County PHS/EHD. <br /> AND/OR I` <br /> 2. Submit a Preliminary Report by _ --_- -_ fdatel s <br /> to the San Joaquin County PHS/EHD and the.,Cent"ral Valley <br /> Regional Water Quality Control Board (CVRWQCB)'M <br /> i <br /> I <br /> signature and title date <br />
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