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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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• n - <br /> �d <br /> APR 141992 <br /> 3=riG�-:r:» tVr <br /> LETTER OF ACKNOWLEDGMENT: <br /> EIWIRONMENTAL HEALTH <br /> PERMIT/SERVICES <br /> TO: SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVYRONMENTAL HEALTH DIVISION <br /> 445 SAN .JOAQUIN ST. <br /> P.O. Box 2009 <br /> Stockton, 1CA 95201 <br /> FROM: <br /> (company name) <br /> RE: 305 S 14 U%C41/NS Z-CQ c/,L— <br /> (facility address) ,. <br /> .A: <br /> I(No) declare that the information and/or recommendations contained <br /> in any future proposal(s) or report(s) is/are true and correct, and <br /> that all viork and reports which fequired geologic or engineering <br /> evaluations and/or judgments have been performed under the <br /> direction of an appropriately registered or certified professional. <br /> Any future proposal or report will utilize the "Regional Board <br /> Staff Recommendations For Initial Evaluation and Investigation of <br /> Underground Tanks" and "Appendix All reporting format. The LUFT <br /> Manual will also be utilized as a guidance document. <br /> Furthermore, I(We) understand thatthe Local UST Oversight Program <br /> will evaluate our mitigation activities on the site(s) in question <br /> for the purpose of closure certification and that the program is a <br /> cost recovery program. <br /> s gnature and t` le date <br /> D G�O� <br /> N0. 4445 <br /> N ��r•6-3a-rl 3 <br /> 9�oF cA�-��°Q� <br />
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