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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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4040
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2900 - Site Mitigation Program
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PR0543577
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
12/19/2019 11:07:52 AM
Creation date
12/19/2019 11:04:07 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0543577
PE
2952
FACILITY_ID
FA0003965
FACILITY_NAME
PG&E
STREET_NUMBER
4040
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95204
APN
11702001
CURRENT_STATUS
02
SITE_LOCATION
4040 WEST LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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f <br /> C <br /> i <br /> 3 <br /> a <br /> J. <br /> I� <br /> WE ARE DISCONTINUING REVIEW OF YOUR <br /> OR MISSING DATANCOMPLETE <br /> . WE CAN NOT PROPERLY REVIEW 17 UNTIL THE DEE CIENCBECAESECHECXEDUSE IT IS IARE CORRECT <br /> PLEASE COMPLETE THE FOLLOWING: ED. <br /> Results of previous investigations. I <br /> The stamp or seal of a registered geologist or C1,tified engineering geologist, <br /> of registered engineer (State of California Regisltration), <br /> Detailed site map showing tank location and t i in <br /> properties (North tcmard the top of the page). <br /> YPe, p p g, streets and adjacent <br /> i <br /> ✓ Results of tank tests (including type of test). <br /> ✓ Estimates of quantity and composition of the liqugid leaked (including basis <br /> of estimate). ? <br /> History of site use (including tank use). <br /> U_ Local topography, gy, y I <br /> geology, nearby streams, estimated or measured depth to groundwater. <br /> 4 ✓ Location depth, and <br /> P ► type (municipal, domestic, i�irigation) of water wells within 5i3B feet. <br /> Location of nearby septic tanks, leachfields, buildings and underground public <br /> utility lines (including water, sanitary sewer and .storm sewer). <br /> Proposed program, including methodolo <br /> groundwater contamination, gy► to define the extent of soil and <br /> Proposal to dispose of soil borin I <br /> r g(s) cuttings and/or bailcC ,water" volumes from <br /> monitoring well{s}, <br /> ( ✓ Lithologic logs have not been signed by the registeredgeologist <br /> engineering geologist (State of California Registrationwwho isresponsible or efor # <br /> their accuracy. 1 <br /> Depths to groundwater; shallow, unconfined and confined cones. <br /> Elevations of monitor wells and/or domestic well n'I) ne property. <br /> Groundwater gradients based on periodic water level measurements from on-site <br /> monitor wells and domestic well(s). <br /> Lithology and cross sections based on boreholes, trenches, and other supporting information. <br /> 11 <br /> Proposal for additional boreholes and/or monitor wells necessary to define the 1 <br /> extent of contamination. i <br /> I <br /> Soil �-• <br /> Groundwater <br /> Other wt C` tl..ew56o( allo fit -a.�aer�{ov i►.ee.�'s. Spit 50, Sold s <br />+ FI <br /> i� <br /> Very truly yours) I <br /> _, .Fig.- <br />
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