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SITE INFORMATION AND CORRESPONDENCE FILE 2
Environmental Health - Public
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3500 - Local Oversight Program
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PR0544188
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SITE INFORMATION AND CORRESPONDENCE FILE 2
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Last modified
2/27/2019 1:02:53 PM
Creation date
2/27/2019 9:42:42 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
FILE 2
RECORD_ID
PR0544188
PE
3526
FACILITY_ID
FA0006698
FACILITY_NAME
FERNANDOS PLACE
STREET_NUMBER
1201
Direction
S
STREET_NAME
CENTER
STREET_TYPE
ST
City
STOCKTON
Zip
95209
APN
14716003
CURRENT_STATUS
02
SITE_LOCATION
1201 S CENTER ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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Notice of Intent for General WDRs Order No.R5-2008-0149 -2- <br /> IN-SITU <br /> 2- <br /> IN-SITU GROUNDWATER REMEDIATION AT SITES WITH VOLATILE ORGANIC COMPOUNDS, <br /> NITROGEN COMPOUNDS,PERCHLORATE,PESTICIDES, <br /> SEMI-VOLATILE COMPOUNDS AND/OR PETROLEUM HYDROCARBONS <br /> 6. CALIFORNIA ENVIRONMENTAL QUALITY ACT CEQA <br /> Has a CEQA determination been made by an Name of agency: <br /> agency?❑Yes ®No <br /> Type of Determination: Date of Determination: <br /> If the CEQA determination was made alter the date of adoption of this General WDR,then include a copy of the <br /> CEQA determination with this NOI. <br /> T PROCESS <br /> ❑ Single-Injection Points ® Continuous Injection ❑Recirculation System <br /> Amendments to be added: Volumes of Amendments per Month: Storage on Site? <br /> Ozone(03) Approximately 40 lbs 03 ®Yes ❑No '03 generated <br /> Pollutants to be treated: Rates of amendment additions: Max rate of amendment addition: <br /> Petroleum hydrocarbons Approximately 2lbs per day 03 2.5 Has per day 03 <br /> Extraction and Injection Rates(give units) Treatment Methods and flows(give units): <br /> Average:20 scfh 03 Maximum:25 scfh 03 Avera e: Maximum: <br /> S. WASTES GENERATED <br /> Check All That Apply: <br /> ❑ Treatment Wastewater ❑ Domestic Wastewater(separate system) <br /> ❑ Stormwater ❑Solid waste -Type <br /> 9,AMENDMENT STORAGE <br /> Describe the type(s)of storage vessels,including capacity of each,that will be used to store amendments:03 is <br /> generated with an ozone generator and injected immediately following generation. <br /> How will liquid be stored and monitored to prevent spillage? <br /> NA <br /> 10. CERTIFICATION <br /> "I cerfi under penalty of law that this document and all attachments were prepared under my direction or <br /> supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate <br /> the information submitted.Based on my inquiry of the person or persons who manage the system,or those persons <br /> directly responsible for gathering the information,the information submitted is,to the best of my knowledge and <br /> belief,true,accurate,and complete. I am aware that there are significant penalties for submitting false information, <br /> including the possibility of fine and imprisonment for knowing violations." <br /> Print Name: Roger Huckins Jr. Title: Former Owner/ Responsible Partv <br /> Signature: <br /> _ � rc � a X15 t3 <br />
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