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SITE INFORMATION AND CORRESPONDENCE
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3500 - Local Oversight Program
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PR0545328
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
2/11/2020 8:51:28 PM
Creation date
2/11/2020 11:00:49 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545328
PE
3528
FACILITY_ID
FA0009569
FACILITY_NAME
Custom Design Manufacturing
STREET_NUMBER
248
Direction
E
STREET_NAME
KETTLEMAN
STREET_TYPE
Ln
City
Lodi
Zip
95240
APN
06206046
CURRENT_STATUS
02
SITE_LOCATION
248 E Kettleman Ln
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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PUBLIC MEALSERVT�ESW� <br /> TH <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 /> PY <br /> DAN GILLESPIE CO <br /> DARYL & O GEWEKE TRS <br /> 248 E KETTLEMAN <br /> LODI CA 95241 <br /> RE: GEWEKE R V CENTER SITE CODE: 1344 <br /> 248 E KETTLEMAN CONTRACTOR #: 39000 <br /> LODI CA 95241 <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 /> 4 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 Steven Sasson <br /> at (209) 468-3459. <br /> Donna Heran, REHS, Director <br /> Environmental Health Division <br /> .� Steven Sasson, Senior REHS /,/L Diane M. Hinson, REHS <br /> ` Site Mitigation Unit `�U Supervisor <br /> SS:ib <br /> Enc. <br /> c: SWRCB, Underground Storage Tank Section - Lori Casias <br /> c: CRWQCB, Central Valley Region - Elizabeth Thayer <br /> F <br /> r A Dkkion of tiara joagnin Connlr Health Care Service. <br /> � t - i r <br />
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