Laserfiche WebLink
Department of <br />^� Toxic Substances <br />Water Boards Control <br />Date: 5/13/22 <br />Local Agency Name <br />REMEDIAL ACTION AGREEMENT NOTIFICATION FORM <br />SECTION I: LOCAL AGENCY INFORMATION <br />San Joaquin County Environmental Health Department <br />Local Agency Address: 1868 E. Hazelton, Stockton, CA 95205 <br />Local Officer Information <br />Name: Jeffrey Wong <br />Title: Lead Senior Registered Environmental Health Specialist (Sr. REHS) <br />Email: jwong@sjgov.org Phone: 1(209)468-0335 / (209) 616-3163 <br />SECTION II: GENERAL SITE INFORMATION <br />Site Information <br />-�-- 0 0 0 00 p� g <br />GeoTracker Site Name: Z� I �SSfc� cGlobal ID: l I ` �© <br />Is the GeoTracker Record Complete? O Yes I No <br />Local/'tate Agency Case Number(s): r <br />Site Address: az V\ a Scz� <br />Responsible Party or Project Proponent Information <br />Name: Visionary Home Builders of CA, Inc. (Carol J. Ornelas) <br />Email: cjornelas@visionaryhomebuilders.org Phone: 209-598-1259 <br />Address: 315 N. San Joaquin Street, Stockton, CA 95202 <br />Property Owner Information (If Different from Responsible Party) <br />Name: State of California (Department of General Services has ground lease authority) <br />Email: james.DiGiorgio@dgs.ca.gov Phone: 916-375-4268 <br />Address: PO Box 942850, Sacramento, CA 94250 <br />Page 1 of 4 <br />Published December 10, 2021 Updated December 17, 2021 <br />