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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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KETTLEMAN
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2448
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3500 - Local Oversight Program
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PR0544300
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
4/2/2019 4:12:50 PM
Creation date
4/2/2019 3:23:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0544300
PE
3528
FACILITY_ID
FA0003855
FACILITY_NAME
TESORO (SHELL) 68153
STREET_NUMBER
2448
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
05814001
CURRENT_STATUS
02
SITE_LOCATION
2448 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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4 <br /> :� . .. <br /> / <br /> LETTER OF ACKNOWLEDGMENT: <br /> i <br /> TO: SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 445 SAN JOAQUIN ST. <br /> P.O. Box 2009 <br /> q <br /> Stockton, C�A�995201 <br /> FROM: V LM211n nI V 1 ln'1 Ne- <br /> (company <br /> c(company name) <br /> ULM <br /> (facility address) <br /> I (We) declare that the information or and recommendations contained <br /> d <br /> i in the attached proposal or report is/are true and correct, and <br /> that all work and reports which re uired geologic or engineering <br /> evaluations and/or judgments have been performed under the <br /> direction of an appropriately registered or certified professional. <br /> The attached proposal or report utilizes the "Regional Board staff <br /> Recommendations For Initial Evaluation and Investigation of <br /> Underground Tanks" and "Appendix All reporting format. The LUFT <br /> Manual has also been utilized as a guidance document. <br /> r Furthermore, I (We) understand that the Local UST Oversight Program <br /> will evaluate our mitigation activities on the site(s) in question <br /> for the purpose of closure certification and that the program is a <br /> P cost recovery program. <br /> M�,N�(L. Mflt�Tt� EN � M� L �� <br /> signat re and t date <br />
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