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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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EHD Program Facility Records by Street Name
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LOWER SACRAMENTO
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7910
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3500 - Local Oversight Program
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PR0545441
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
3/9/2020 4:24:01 PM
Creation date
3/9/2020 2:37:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545441
PE
3528
FACILITY_ID
FA0003733
FACILITY_NAME
NORTH SIDE SHELL
STREET_NUMBER
7910
STREET_NAME
LOWER SACRAMENTO
STREET_TYPE
RD
City
STOCKTON
Zip
95210
APN
07949006
CURRENT_STATUS
02
SITE_LOCATION
7910 LOWER SACRAMENTO RD
P_LOCATION
01
QC Status
Approved
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EHD - Public
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Y� <br /> 3 <br /> LETTER OF ACKNOWLEDGEMENT: All proposals and reports submitted <br /> must be accompanied by a cover letter from the responsible <br /> party(ies) which states, at a miniinum, the following: <br /> TO: SAN JOAQUIN COUNTY,iPUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 1601 E. Hazelton Avenue <br /> P. O. Box 2009 <br /> Stockton, CA 95201` <br /> i <br /> FROM: <br /> (company name)' <br /> RE: <br /> (facility address) <br /> ;3 <br /> I (We) declare, under penalty of perjury, that the information <br /> and/or recommendations contained in the attached proposal or <br /> report is/are true and correct, and that all work and reports <br /> which required geologic or engineering evaluations and/or <br /> judgments have been performed under the direction of an <br /> appropriately registered or certified professional. <br /> The attached proposal or report utilizes the "Regional Board <br /> Staff Recommendations For Initial ,]Evaluation and Investigation of <br /> Underground Tanks" and "Appendix A'.' reporting format. The LUFT <br /> Manual has also been utilized as a°guidance document. <br /> Furthermore, I (We) agree to submit`a Problem Assessment Report by <br /> (date) to the -San Joaquin County PHS/EHD and ! <br /> the CVRWQCB. <br /> i <br /> i <br /> --------------------------------- .. -- .--------------------------- <br /> Signature and title date <br /> 1 <br /> i <br /> i <br />
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