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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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PU90T] HEALTH SER' VOICES �.��...-N...� <br /> �i J, = <br /> JOG] KHANNA,1tU,rtil.P H <br /> He J]th Officer , <br /> P.O. Box 2009 • (1601 .East Hazelton Avenue) • c P <br /> Stockton, California 95201 aCiFp'R� <br /> (209) 468-3400 <br /> ZACHARY DEUTSCH <br /> CITY THRIFT AND LOAN ASSOCIATION <br /> 8345 HAYVENHURST <br /> P O BOX 2191 (JOPPY DEC U 51991 <br /> SEPULVEDA CA 91343 <br /> RE: TOGO'S SrM CODE: 9149 <br /> 305 S. HUTCHINS STREET CONTRACTOR #: 39000 <br /> LODI CA 95240 <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 Loral 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 LUFI' <br /> Manual will be utilized as guidance documents in the preparation of work plans and/or reports. <br /> Review of the "Proposal for Characterization & Remediation" dated October 91 submitted will be <br /> scheduled for review following our receipt of the aforementioned Letter of Acknowledgment. You will be <br /> notified of its completion. <br /> A Division of San Joaquin County Health[are Senices <br /> 1 ; bra <br />
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