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Environmental Health - Public
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3500 - Local Oversight Program
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PR0544494
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
11/19/2024 10:19:50 AM
Creation date
5/28/2019 8:50:52 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0544494
PE
3528
FACILITY_ID
FA0005978
FACILITY_NAME
STAN MORRI FORD
STREET_NUMBER
104
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
23505307
CURRENT_STATUS
01
SITE_LOCATION
104 W ELEVENTH ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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l <br /> PUBLIC HEALTH SERVICES oPa.•..k...� <br /> SAN JOAQUIN COUNTY <br /> JOGI KHANNA M.D.,M.A.H. <br /> Health Officer <br /> P.O. Box 2009 (1601 East Hazelton Avenue) Stockton,California 95201 <br /> c4�rFQUN�P <br /> (209)468-3400 <br /> December 6, 1989 <br /> Lambert Barnum <br /> P.O. box 1071 <br /> San Andreas CA 95249 <br /> F <br /> RE: STAN MORRI FORD IN REPLY REFER TO SITE CODE:, 2084--2 <br /> 104 W. ELEVENTH STREET i <br /> TRACY 95376 <br /> The San Joaquin County Public Health Services, Environmental Health Division w <br /> has recently been included in the State Water Resources Control Board (SWRCB) j <br /> UST Pilot Program for oversight of assessment and clean up .activities at I <br /> contaminated underground tank sites. <br /> A proposal for initial assessment and/or remediation for the above referenced f <br /> 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 information <br /> and/or recommendations contained in the attached proposal or <br /> report is/are true and correct, and that all work and reports <br /> which required geologic or engineering evaluat°ions and/or <br /> judgments have been performed under the direction of an 1 <br /> 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 A" reporting format. The LUFT <br /> Manual has also been utilized as a guidance document. <br /> Furthermore, I(We) agree to submit, on the date noted, the <br /> following on the site(s) in question: <br /> s i <br /> i. . . . . . . ."Soil Contamination Work Plan" and "Soil <br /> Remediation. Plan" by (date) to San Joaquin T <br /> County PHS/EHD. <br /> and/or I <br /> COPY <br /> A Division of San Joaquin County Heath Care Services <br />
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