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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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3500 - Local Oversight Program
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PR0545307
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
2/11/2020 3:02:32 PM
Creation date
2/11/2020 8:53:24 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545307
PE
3528
FACILITY_ID
FA0000932
FACILITY_NAME
DOMINO'S #8588
STREET_NUMBER
305
Direction
S
STREET_NAME
HUTCHINS
STREET_TYPE
ST
City
LODI
Zip
95240
APN
03319020
CURRENT_STATUS
02
SITE_LOCATION
305 S HUTCHINS ST
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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PUBLIC" <br /> u!T SERVICES a� <br /> R � . <br /> SAN JOAQUIN COUNTY ' _ <br /> ENVIRONMENTAL HEALTH DIVISION '` <br /> Ernest M. Fujimoto, M.D., M.P.H., Acting Health Officer . <br /> 445 N. San Joaquin Street • P.O. Box 388 • Stockton, CA 95201-0388 <br /> (209) 468-3420 <br /> C (DFIY <br /> BRETT WILLIAMS <br /> FEDERAL DEPOSIT INSURANCE CORP (FDIC) <br /> P 0 BOX 7549 <br /> NEWPORT CA 92658-7549 �L 1994 <br /> RE: TOGOS (FORMERLY TEXACO) SITE CODE: 9149 <br /> 305 S HUTCHINS ST CONTRACTOR #: 39000 <br /> LODI 95240 <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 tank leakage sites. <br /> Closure certification occurs only after mitigation activities are completed. <br /> In addition, the "Regional Board Staff Recommendations For Initial Evaluation and Investigation of Underground <br /> Tanks" and "Appendix A" reporting format and the LUFT Manual shall be utilized as guidance documents in the <br /> preparation of work plans and/or reports. <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, RENS, Director <br /> Environmental Health Division <br /> Michael Infurna, Senior RE Diane inson, REHS <br /> Site Mitigation Unit Supervisor <br /> MI:Ib <br /> Enc <br /> c: SWRCB, Underground Storage Tank Section <br /> c: CRWQCB, Central Valley Region - Elizabeth Thayer <br /> Other Responsible Party: <br /> c: Dolores Staudenraus <br /> 611 Washington St., #2305 <br /> San Francisco, CA 94111 <br /> %apni,ision of San Joaquin County Health Care Service~�( <br />
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