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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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HAZELTON
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2900 - Site Mitigation Program
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PR0540816
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COMPLIANCE INFO
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Last modified
5/28/2021 11:16:53 AM
Creation date
5/28/2021 11:08:27 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0540816
PE
2960
FACILITY_ID
FA0023388
FACILITY_NAME
PUBLIC WORKS
STREET_NUMBER
1810
Direction
E
STREET_NAME
HAZELTON
STREET_TYPE
AVE
City
STOCKTON
Zip
95205
APN
15518002
CURRENT_STATUS
01
SITE_LOCATION
1810 E HAZELTON AVE
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\dsedra
Tags
EHD - Public
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Cover Letter <br />Site Name and Address: San Joaquin County Public Works, 1810 E. Hazelton Ave., Stockton, CA <br />Report/Document Title: Work Plan for Additional Subsurface Investigation and Well Installation <br />Submittal Agencies: San Joaquin County Environmental Health Department <br />California Regional Water Quality Control Board, Central Valley Region <br />GeoTracker - CA Electronic Data Submission for Environmental Sites <br />LUFT guidelines state that reports submitted to Local Implementing Agencies and the Regional Board <br />should be accompanied by a cover letter, signed by the responsible party, acknowledging the statements, <br />conclusions and recommendations included in the report. Any disagreement that the responsible party has <br />with the contents of the report should be noted in the cover letter. <br />By signing below I confirm that I have personally examined and am familiar with the information <br />submitted in this report and all attachments and that, based on my inquiry of those individuals <br />immediately responsible for obtaining the information, I believe that the information is true, accurate and <br />complete unless stated otherwise below. <br />I acknowledge that Condor Earth Technologies, Inc. has prepared the report listed above at my request. <br />By signature below, I hereby authorize Condor to directly submit this report to the agencies listed above. <br />Authorized Representative: MOLAGM <br />Date: d-o-Pitc._ / 9 I JO / <br />Requested report forn2at for your copy: nhlard Copy lectronic (PDF) Copy <br />Responsible Party Comments: <br />X:\Project\5000_prj\5960 SJC UST RFQ\5960C County of San Joaquin - SJC Public Works\5960C6\Reports\ Work Plan\CL 20170619_596006 <br />Report Submit Work Plan.docx
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