Laserfiche WebLink
01112/2011 16:51 Advanced Ger' iviromental Inc. x 4X)209 4671118 P.0021002 <br /> ^ <br /> SAN JOAQUIN COUNTY SAN 1 2 2��1 <br /> ." <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> : . 800 East Main Street,Stockton,CA 95202-3029 <br /> J (209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ohd <br /> ENVIRONMENTAL <br /> HEALTH <br /> Demonstration of Retention of Relnedlation Firm/Authorized Contractor <br /> for Preperb Contemioated by Methamphetamine Leborelory Activitin <br /> site Location �IFI V 6 ry0 b (t-11 t CA 4 <br /> _l� ' <br /> Property Owner 't � cclN (� c <br /> M®IIIn2Addresc 2900 s e�anzr �r�ts� ti 3rd C-1- or, ,�,�1�i�TeX 7$Z� �oYlba nc,^ ltilbl c <br /> �, �JfnO Si�wtti 11 �P _rl,� _n r ej% CA <br /> The methemphetamine laboratory site remediation firm indicated below hes been retained and Is acting as an authorized <br /> contractor to remedlale the contamination caused by the methamphetamine laboratory activity. <br /> Ramedlatlon Firm Advanced OaoEnvironrnental, Inc. , Phone 1-800-5119300 <br /> Meiling Address 837 Shaw Road, Stockton, CA 95215 <br /> Project Contact Alonso Luis eardaa <br /> Name <br /> Certified industrial <br /> Hygienist Name /q r?/a,U 1 <br /> Contractor <br /> Company Name Phone <br /> Contact Penson Phone <br /> Mailing Address <br /> Llcenaa <br /> Contractors License# Type(s) <br /> important Requirements: <br /> 1. All parsons performing the prelimfnary site assessment or any remediation work,Including decontamination,demolition,or <br /> disposal,shall have the following training: <br /> 1.) Initial training pursuant to California Code of Regulations(CCR)Tills 8,Section 6192(e)(3)(A),or Section 6192(e)(4), <br /> as applicable. The training shell Include elements listed purusant to Section 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 Tide 8,Section 5192(e)(8). <br /> Ii. Proof of Title 8 training shall be submitted to the EHO prior to the initiation of work at the site. <br /> III. The Preliminary S;te Assessment work plan and report shall be signed and motorized by the contractor responsible for the <br /> completion of the Preliminary Site Assessment and a CartlAed Industrial Hygienist for sufficiency and completeness. <br /> I have read and undo tend the Aova rezponslblllties and have discussed them with my remndlation firm and contractor. <br /> Owner Signature pate Q f •Q V <br /> �•; dh-r T3�A�crF o7< otv r= W��T (3,t-*<N tc p� A'TT t�NI tf't�N T, <br /> os t azoa7 , <br /> K <br />