Laserfiche WebLink
2'°�a 'P, z SAN JOAQUIN Environmental Health Department <br /> COUNTY <br /> Linda Turkatte, REHS, Director <br /> Greotness grows here. Kasey Foley,REHS,Assistant Director <br /> PROGRAM COORDINATORS <br /> Robert McClellon, REHS <br /> Jeff Carruesco, REHS, RDI <br /> Michael Kith,REHS <br /> Willy Ng,REHS <br /> Muniappa Naidu, REHS <br /> DEMONSTRATION OF RETENTION OF <br /> REMEDIATION FIRM/AUTHORIZED CONTRACTOR <br /> For Property Contaminated By Methamphetamine Laboratory Activities <br /> Site Location <br /> Property Owner Phone <br /> Mailing Address <br /> The methamphetamine laboratory site remediation firm indicated below has been retained and is acting as an <br /> authorized contractor to remediate the contamination caused by the methamphetamine laboratory activity. <br /> Remediation Firm Phone <br /> Mailing Address <br /> Project Contact Name <br /> Certified Industrial <br /> Contractor Company Name Phone <br /> Contact Person Phone <br /> Mailing Address <br /> Contractor's License# License Type(s) <br /> Important Requirements: <br /> I. All persons performing the preliminary site assessment or any remediation work, including decontamination, <br /> demolition, or disposal, shall have the following training: <br /> 1. Initial training pursuant to California Code of Regulations (CCR) Title 8, Section 5192(e)(3)(A), or <br /> Section 5192(e)(4), as applicable. The training shall include elements listed pursuant to Section <br /> 5192(e)(2)(A) to (G). <br /> 2.Annual refresher training pursuant to CCR Title 8, Section 5192(e)(8). <br /> 3.The above-noted training shall be certified pursuant to CCR Title 8, Section 5192(e)(6). <br /> II. Proof of Title 8 training shall be submitted to the EHD prior to the initiation of work at the site. <br /> III. The Preliminary Site Assessment work plan and report shall be signed and notarized by the contractor <br /> responsible for the completion of the Preliminary Site Assessment and a Certified Industrial Hygienist for <br /> sufficiency and completeness. <br /> I have read and understand the above responsibilities and have discussed them with my remediation firm and contractor. <br /> Owner Signature Date <br /> 05-17-2007 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />