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INSTALL_1987
Environmental Health - Public
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INSTALL_1987
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Last modified
2/9/2024 11:01:30 AM
Creation date
11/7/2018 4:08:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
INSTALL
FileName_PostFix
1987
RECORD_ID
PR0231431
PE
2361
FACILITY_ID
FA0000514
FACILITY_NAME
MAIN STREET SHELL*
STREET_NUMBER
1071
Direction
N
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
21707011
CURRENT_STATUS
02
SITE_LOCATION
1071 N MAIN ST
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
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FilePath
\MIGRATIONS\M\MAIN\1071\PR0231431\INSTALL 1987.PDF
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EHD - Public
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• <br />• <br />TO: SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES/ENVIRONMENTAL <br />HEALTH DIVISION <br />FROM: CHEVRON U.S.A. <br />2410 CAMINO RAMON <br />SAN RAMON, CA 94583 <br />RE: CHEVRON SERVICE STATION <br />ICI -11 tlpkoS <br />I (We) declare, under penalty of perjury, that the information <br />and/or recommendation contained in the attached proposal or <br />report is true and correct. <br />Furthermore, I (We) agree to the condition placed on the s«;-= <br />referenced above in order that new installation of undergrci-,::d <br />storage tanks may proceed. <br />A. A Soil Contamination Workplan and Soil Remediation Prc_�:sal <br />will be submitted will be submitted by <br />OR <br />A Preliminary Report will be submitted to San Joaquin County <br />Environmental Health Division and the Central Valley <br />Regional Water Quality Control Board by <br />B. Option 1. The new tanks shall be installer. _n a <br />new on site location in an uncontaminated area. <br />•; <br />Option 2. The suspect zone shall undergo an <br />Immediate Source Removal, with the placement of clean fnll <br />material, prior to the placement of new tanks. <br />The undersigned individual or indi-riduals authorizes the <br />continued investigation and acknowledges the conditions` abc-:`_ and <br />selection of one of the two options identified under Item - <br />above. <br />L� <br />---------- - 7- - 2p --------.------ - <br />Sign ure and itle Da <br />
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