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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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3500 - Local Oversight Program
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PR0544962
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
11/6/2019 9:39:27 AM
Creation date
11/6/2019 9:15:21 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0544962
PE
3528
FACILITY_ID
FA0003651
FACILITY_NAME
ARTS & ARTISTS
STREET_NUMBER
204
Direction
E
STREET_NAME
LODI
STREET_TYPE
AVE
City
LODI
Zip
95240
APN
04719102
CURRENT_STATUS
02
SITE_LOCATION
204 E LODI AVE
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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HEALTH SERVI"CESPUBLICz <br /> • SAN JOAQUIN COUNTY Q ;� <br /> JOG[KHANNA M.D.,M.P.H. <br /> Hea[rh Officer <br /> P.O. Sox 2009 • (1601 East Hazelton Avenue) <br /> •Stockton, California 95201 <br /> (209)468-3400 <br /> JUL o 2 1991 <br /> MARY LEHR <br /> 1250 EDGEWOOD DRIVE <br /> LODI CA 95240 <br /> RE: Arts and Artists SITE CODE: 2423 <br /> 204 E. Lodi Ave. CONTRACTOR #: 39000 <br /> Lodi CA 95240 <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 /> A Letter of Acknowledgment is enclosed for your completion and return. Your acknowledgment of the <br /> placement of your site into the Local UST Oversight Program as stated above is respectfully requested. In <br /> addition, the individual or individuals authorizing the continued investigation shall provide identification <br /> with respect to their title of authority. <br /> In addition, this Acknowledgment indicates that the "Regional Board Staff Recommendations For Initial <br /> Evaluation and Investigation of Underground Tanks" and "Appendix A" reporting format and the LUFT <br /> Manual will be utilized as guidance documents in the preparation of work plans and/or reports. Please be ti <br /> informed that this office requests 48 hours prior to any site activity. <br /> If you have any questions or there are any corrections in the responsible party information, contact Mary <br /> Meays, EHS, at (209)46$-3441. <br /> Jogi Khanna,M.I)r,—M.P.H. <br /> Health Officer <br /> urie A. Clotulla, HS, Program Manager <br /> Environmental Health Division <br /> -LAGMM:nr <br /> Enc. <br /> C, SWRCB, Underground Storage Tank Section <br /> c: CRWQCB, Central Valley Region <br /> c: James DeMerc III <br /> 1111 W. Tokay, Lodi, CA 95241 <br /> Division of San Joaquin County Hcakh Care Services <br />
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