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EnvironmentalHealth
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2900 - Site Mitigation Program
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PR0515694
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Entry Properties
Last modified
9/3/2020 11:07:36 AM
Creation date
9/3/2020 10:48:57 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0515694
PE
2950
FACILITY_ID
FA0012289
FACILITY_NAME
CSK AUTO
STREET_NUMBER
1210
STREET_NAME
TRACY
STREET_TYPE
BLVD
City
TRACY
Zip
95376
APN
23229060
CURRENT_STATUS
02
SITE_LOCATION
1210 TRACY BLVD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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Michael J. Infurna Jr. <br /> Senior REHS San JoaquinPublic <br /> Site Mitigation Unit IV/ LOP Health Services, <br /> Fifth FloorHealth Environmental <br /> (209) 468-3454 1 304 E. Weber <br /> fax: (209) 468-3433 Stockton, CA., 95202 <br /> Fax <br /> D <br /> JAN 3 1 2001 <br /> From: MICHAEL INFURNA, SENIOR REHS <br /> To\�� I Fax#: lS <br /> Pages: S Phone: <br /> Date: l' 6 / Re: PAPERWORK FOR DRILLING AT NEW SITE <br /> •Comments: IN ORDER TO ISSUE THE BORING PERMIT(S)FOR THE WORK YOU ARE PROPOSING,THE <br /> FOLLOWING PAPERS WILL NEED TO BE COMPLETED,SIGNED,AND RETURNED TO PHS-EHD FOR REVIEW <br /> AND APPROVAL: <br /> 1. A WORK PLAN,COMPLETE WITH THE PHASE 1 INFORMATION (i.e.,above ground usage&history), <br /> 2. THE"UNIT IV-MFR"FORM PLUS A SEPARATE CHECK FOR$261 (3 hours @$87 per)MADE OUT TO"PHS- <br /> EHD". THE BILLING PARTY FOR ADDITIONAL CHARGES TO BE CLEARLY IDENTIFIED, <br /> 3. A BORING PERMIT APPLICATION FOR EACH PARCEL AND MATCHING$89 CHECK EACH and A SIGNED <br /> "LICENSED CONTRACTOR DECLARATION(LCD), <br /> 4. ANY CITY OR COUNTY ENCROACHMENT PERMITS OR PRIVATE PROPERTY ACCESS AGGREEMENTS. <br /> DO NOT SCHEDULE A DRILLING DATE UNTIL A PHS-EHD STAFF MEMBER ADVISES YOU THAT THE <br /> PERMIT(S)HAVE BEEN ISSUED. <br /> 5. SITES UNDER OTHER AGENCY(CVRWQCB or DTSC)OVERSIGHT MUST HAVE THE WORK PLAN AND <br /> THE APPROVAL TO START ON FILE WITH PHS-EHD PRIOR TO ISSUANCE OF THE BORING PERMIT(S). <br /> THE$261 FEE MAY BE WAIVED IF THE BILLING PARTY ON FILE WITH PHS-EHD IS STILL THE PARTY TO <br /> RECEIVE THE BILLING. <br /> 6. SITES EXPECTING TO RECEIVE A"NO FURTHER INVESTIGATION REQUIRED"LETTER AT THE <br /> CONCLUSION OF THEIR INVESTIGATION ARE TO MAKE THIS OPTION KNOWN TO PHS-EHD AT THE <br /> BEGINNING OF THE SUBSURFACE INVESTIGATION. IF NO LETTER IS REQUIRED,PHS-EHD WILL NOT <br /> COMMENT ON THE RESULTS UNLESS CONTAMINATION IS DETECTED. <br /> STATEMENT OF OONRDENilAUry.Tho inbniation in this/acsimik is.49aNy pivm;Nged and cm/idenha'inTanwuxi intended aNy Tor the use o7 the addacae ti9ed on tMs crna sheet M the reach-d tMs message is <br /> the intorrled—p—,r the empbyoe a-agent rev( %we to deli—a to the intanesd rec0-t you are he+ebi r.it d UW airy visserninad-.JLbtblim m-pykV of Nis to py is string p hkiNd.If you h—a -avad <br /> rhis facsimile io ona-,phase immediately notify us by relept—M the number listed m this—sheer and rerun the arigirw massage to us M the United states Postal S.M.. we MN tei,b—you <br /> s in noriryiny us and mrvnirg rno n,os e ro uc Thank Yo <br />
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