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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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EHD - Public
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PUBLIeHEALTH SER' ICES <br /> P. <br /> SAN JOAQUIN COUNTY <br /> r� <br /> ENVIRONMENTAL HEALTH DIVISION <br /> Ernest M. Fujimoto, M.D., M.P.H., Acting Health Officer <br /> 304 E.Weber Ave., 3rd Floor • P. O. Box 388 • Stockton, CA 95201-0388 <br /> 209/468-3420 <br /> RANDALL K STEPHENSON <br /> TRAMAR INC <br /> 525 W MRD ST MAILED OCT 3 01555 <br /> HANFORD CA 93230 <br /> RE: ULTRAMAR/BEACON #641 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 /> 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 /> at (209) 468-3454. <br /> Donna Heran, REHS, Director ' <br /> Environmental Health Division <br /> Michael Infurna, Senior RENS Diane M. Hinson, REHS A y <br /> Site Mitigation Unit Supervisor F <br /> MI.lb <br /> Enc. <br /> c: SWRCB, Underground Storage Tank Section - Lori Casias , <br /> :4 <br /> . c: CRWQCB, Central Valley Region - Elizabeth Thayer <br /> Other Responsible Parties: <br /> c: Shadrall Associates, PTP - George McElroy & Associates, Inc. <br /> P.O. Box 565048 <br /> Dallas, TX 97356-5048 <br /> SMUT& REV!0724/95 <br /> z <br /> ' s <br /> A Division of San Joaquin County Health Care Services <br />
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