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SITE INFORMATION AND CORRESPONDENCE FILE 1
Environmental Health - Public
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3500 - Local Oversight Program
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PR0544513
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SITE INFORMATION AND CORRESPONDENCE FILE 1
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Last modified
5/31/2019 4:48:37 PM
Creation date
5/31/2019 4:33:30 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
FILE 1
RECORD_ID
PR0544513
PE
3528
FACILITY_ID
FA0024115
FACILITY_NAME
WEST CLAY PROPERTY
STREET_NUMBER
639
Direction
W
STREET_NAME
CLAY
STREET_TYPE
ST
City
STOCKTON
Zip
95209
APN
14707110
CURRENT_STATUS
02
SITE_LOCATION
639 W CLAY ST
P_LOCATION
01
QC Status
Approved
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EHD - Public
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PUBLIC HEALTH SERVICES <br /> SAN ►OAQUIN WtINTl' � y <br /> �� II <br /> 10(1I KHANNA M 1),M.P H <br /> Health Officer <br /> c •. �P <br /> P.O. Box 2009• (1601 East Hazelton Avenue) • Stockton, Califomia 95201 q�fFoa� <br /> (209) 468-3400 <br /> PHILLIP DUNN ` <br /> DSS COMPANY J L <br /> P O BOX 6099 <br /> STOCKTON CA 95206 APR 199'' <br /> RE: C_4639 <br /> SS COMPANY SITE CODE: 1065 <br /> W CLAY ST CONTRACTOR #: 390000TOCKT�95206 <br /> The attached "Notice of Reimbursement" is official notification that your site has been assigned to the San <br /> Joaquin County Public Health Services, Environmental Health Division's Local UST Oversight Program <br /> for oversight of assessment and clean up activities at contaminated underground tank sites. <br /> Fees for review activities and inspections associated with contaminated site assessment activities will not be <br /> billed by this office. The State Water Resource Control Board (SWRCB) will invoice you directly for <br /> activities performed under the auspices of the Local UST Oversight Program, The goal of the site <br /> evaluation performed by Public Health Services Environmental Health Division (PHS/EHD) is to certify <br /> closures of underground tank leakage sites. Closure certification occurs only after mitigation activities are <br /> completed. <br /> In addition, the "Regional Board Staff Recommendations For Initial Evaluation and Investigation of <br /> Underground Tanks" and "Appendix A" reporting format and the LUFT Manual shall be utilized as <br /> guidance documents in the preparation of work plans and/or reports. <br /> If you have any questions or there are any corrections in the responsible party information, contact <br /> Michael Collins, REHS, at (209) 468-0338. <br /> Jogi Khanna, M.D., M.P.H. <br /> Health Officer <br /> laurie A. Cotulla, REHS, Program Managdf <br /> Environmental Health Division <br /> CLAC/MC:Ib <br /> Enc. <br /> c: SWRCB, Underground Storage Tank Section <br /> c: CRWQCB, Central Valley Region <br /> Other Responsible Party: <br /> c: West Clay Properties <br /> P.O. Box 6152 <br /> Stockton, CA 95206 <br /> 4 Division of fan Joaquin(aunty I leahh t:an•swr ices <br /> Nw <br /> .W— <br /> JB'. <br />
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