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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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3500 - Local Oversight Program
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PR0545245
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
1/30/2020 11:53:34 AM
Creation date
1/30/2020 10:33:16 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545245
PE
3528
FACILITY_ID
FA0003730
FACILITY_NAME
TIWANA GAS & FOOD
STREET_NUMBER
1210
Direction
E
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95210
APN
09403012
CURRENT_STATUS
02
SITE_LOCATION
1210 E HAMMER LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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PUBLIC .HEALTH SER' ICES <br /> SAN JOAQUIN COUNTY ! U4 �i <br /> ENVIRONMENTAL HEALTH DIVISIONErnest M. Fujimoto, M.D., M.P.H., Acting Health Officer304 E.Weber Ave., 3rd Floor • P. O. Box 388 a Stockton, CA 95201-0388 <br /> 249/468-3420 <br /> cop <br /> GEORGE MCELROY & ASSOC INC <br /> { SHADRALL ASSOCIATES PTP <br /> P O BOX 565048 MAILED OCT 3 0199S <br /> 1 <br /> DALLAS TX 97356-5048 <br /> RE: ULTRAMAR/BEACON 3641 SITE CODE: 1125 <br /> 1210 E HAMMER LN CONTRACTOR #: 39000 <br /> STOCKTON CA 95210 <br /> The attached "Notice of Reimbursement" is official notification that your site has been assigned to the San Joaquin <br /> County Public Health Services, Environmental Health Division's Local UST Oversight Program for oversight of <br /> 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 billed <br /> by this office. The State Water Resource Control Board(SWRCB)will invoice you directly for activities performed <br /> under the auspices of the Local UST Oversight Program. The goal of the site evaluation performed by Public Health <br /> { Services Environmental Health Division (PHS/EHD) is to certify closures of underground storage tank leakage sites <br /> pursuant to Califorinia Code of Regulations, Division 3, Chapter 16, Article 11 (Corrective Action Regulations). <br /> These regulations govern the investigation and mitigation activities at leaking underground storage tank sites. To <br /> a <br /> obtain a copy, please contact the SWRCB at (916) 657-2390. Closure certification occurs only after mitigation <br /> activities are completed. <br /> If you have any questions or there are any corrections in the responsible party information, contact Michael Infurna <br /> k at (209) 468-3454. <br /> Donna Heran, REHS, Director <br /> Environmental He/allltthD' " 'on <br /> Michael Infurna, Senior HS Diane M. Hinson, RENS <br /> �. Site Mitigation Unit Supervisor <br /> MI:lb <br /> Enc. <br /> c: SWRCB, Underground Storage Tank Section - Lori Casias <br /> k c: CRWQCB, Central Valley Region - Elizabeth Thayer <br /> Other Responsible Parties: <br /> c: Ultramar, Inc. - Randall K. Stephenson <br /> 525 West Third Street <br /> ' Hanford, CA 93230 <br /> srrEcra REV MUM <br /> a� <br /> A Division of San Joaquin County Henith Care Services <br />
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