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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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3500 - Local Oversight Program
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PR0545431
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
3/9/2020 3:20:13 PM
Creation date
3/9/2020 11:52:00 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545431
PE
3528
FACILITY_ID
FA0005191
FACILITY_NAME
FULLER MOBILE HOME PARK
STREET_NUMBER
365
Direction
E
STREET_NAME
LOUISE
STREET_TYPE
AVE
City
LATHROP
Zip
95330
APN
19627022
CURRENT_STATUS
02
SITE_LOCATION
365 E LOUISE AVE
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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PUBLrC HEALTH SERVICES oA4FN..� <br /> SAN JOAQUIN COUNTY =% <br /> JOGI KHANNA M.D.,M.P.H. <br /> Health Officer ' <br /> PA. Boa 2009 0(1601 Fast Hazelton Avenue) 0 Stockton, California 9520.1 <br /> cRii;,E6*t P <br /> (209)468-3400 <br /> FRANK RYAN <br /> FULLER MOBILE HOME PARK <br /> 546 DISTEL DRIVE #22 <br /> LOS ALTOS CA 95330 MAR 2 6 1992 <br /> RE: FULLER MOBILE HOME PARK SITE CODE: 2491 <br /> 365 E LOUISE CONTRACTOR #: 39000 <br /> LATHROP CA 95330 <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 IRtter of Acknowledgment is enclosed for your completion and return. Your acknowledgment of the <br /> placement of your site into the Local 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 LUFT <br /> Manual will be utilized as guidance documents in the preparation of work plans and/or reports. <br /> If you have any questions or there are any corrections in the responsible party information, contact <br /> Michael Collins, EHS, at (209) 468-0338. <br /> Jogi Khanna, M.D., M.P.H. <br /> Health Officer <br /> urie A. Cotulla, REHS, Program Manager <br /> Environmental Health Division <br /> LAC/MC:Ib <br /> Enc. <br /> c: SWRCB, Underground Storage Tank Section <br /> c: CRWQCB, Central Valley Region <br /> �_A Division of San Joaquin County health Care Services <br />
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