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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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3500 - Local Oversight Program
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PR0545195
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
1/23/2020 12:02:14 PM
Creation date
1/23/2020 11:40:27 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545195
PE
3528
FACILITY_ID
FA0002915
FACILITY_NAME
TRACY MARKET INC
STREET_NUMBER
15
Direction
E
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
21435004
CURRENT_STATUS
02
SITE_LOCATION
15 E GRANT LINE RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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PUBLIC HEALTH SERVICES aP���N <br /> `� <br /> SAN JOAQUIN COUNTY Q <br /> JOGI KHANNA M.D.,M.P.H. <br /> Health Officer <br /> P.O. Box 2009 (1601 East Hazelton Avenue) Stockton,California 95201 <br /> C4�/FpRa�P <br /> (209) 468-3400 <br /> October 3, 1990 <br /> John Johnson <br /> The Customer Company <br /> 4457 Park Rd. <br /> Benecia, CA 94510 - <br /> RE: Food & Liquor SITE CODE: 1404 <br /> 15 W. Grantline Rd. CONTRACTOR #: 39000 <br /> Tracy, CA 95376 <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. <br /> If you have any questions or there are any corrections in the responsible party information, contact <br /> Eleanor Ratliff, REHS, at (209) 468-3454. <br /> Jogi Khanna, M.D., M.P.H. <br /> ealth Officer <br /> Laurie A. Cotulla REHS Ptd Manager <br /> gram g <br /> Environmental Health Division <br /> LACER:nr <br /> Enc. <br /> c: SWRCB, Underground Storage Tank Section <br /> c: CRWQCB, Central Valley Region <br /> � l <br /> _ -- • �Division of San Joaquin County Health Care Services <br /> �k1}y It y <br />
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