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SITE INFORMATION AND CORRESPONDENCE FILE 1
Environmental Health - Public
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DR MARTIN LUTHER KING JR
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3500 - Local Oversight Program
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PR0544216
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SITE INFORMATION AND CORRESPONDENCE FILE 1
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Last modified
3/4/2019 5:53:12 PM
Creation date
3/4/2019 2:07:26 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
FILE 1
RECORD_ID
PR0544216
PE
3528
FACILITY_ID
FA0003738
FACILITY_NAME
CHARTER WAY SHELL*
STREET_NUMBER
620
Direction
W
STREET_NAME
DR MARTIN LUTHER KING JR
STREET_TYPE
BLVD
City
Stockton
Zip
95206
APN
16504007
CURRENT_STATUS
02
SITE_LOCATION
620 W DR MARTIN LUTHER KING JR BLVD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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PUBI�C HEALTH �a....N. <br /> SAN JOAQUIN COUNTY Za <br /> JOGI KHANNA M.D.,M.P.H. <br /> Health Officer <br /> P.O. Box 2009 (1601 East Hazelton Avenue) • Stockton,California 95201 <br /> (209) 468-3400 <br /> September 29, 1989 <br /> Shell Oil Company <br /> C(OPY <br /> Darrell Robinson <br /> P. O. Box 4023 <br /> Concord CA 94524 <br /> RE: INTERSTATE SHELL; 620 W. CHARTER WAY STOCKTON 95206 <br /> The San Joaquin County Public Health Services, Environmental Health <br /> Division has recently been included in the State Water Resources Control <br /> Board (SWRCB) UST Pilot Program for oversight of assessment and clean up <br /> activities at contaminated underground tank sites. <br /> A proposal for initial assessment and/or remediation for the above <br /> referenced site has been submitted to this office. <br /> All proposals and reports submitted must be accompanied by a Letter of <br /> Acknowledgement from the responsible party(ies) which states, at a minimum, <br /> the following: <br /> I (We) declare, under penalty of perjury, that the <br /> information and/or recommendations contained in the <br /> attached proposal or report is/are true and correct, <br /> and that all work and reports which required geologic <br /> or engineering evaluations and/or judgements have been <br /> performed under the direction of an appropriately <br /> registered or certified professional. <br /> The attached proposal or report utilizes the "Regional <br /> Board Staff Recommendations For Initial Evaluation and <br /> Investigation of Underground Tanks" and "Appendix A" <br /> reporting format. The LUFT Manual has also been <br /> utilized as a guidance document. <br /> Furthermore, I (We) agree to submit, on the date noted, <br /> the following on the site (s) in question: <br /> i. . . . . . . . "Soil Contamination Work Plan" and "Soil <br /> Remediation Plan" by (date) <br /> to San Joaquin County PHS/EHD. <br /> and/or <br /> ii. . . . . . . ..Preliminary Report" by (date) <br /> A Division of San Joaquin County Health Care Services <br />
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