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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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2900 - Site Mitigation Program
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PR0541650
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
3/11/2020 8:17:58 PM
Creation date
3/11/2020 2:34:14 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0541650
PE
2960
FACILITY_ID
FA0023868
FACILITY_NAME
FORMER USA GASOLINE SERVICE STATION 110
STREET_NUMBER
2132
Direction
E
STREET_NAME
MARIPOSA
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
1730635
CURRENT_STATUS
01
SITE_LOCATION
2132 E MARIPOSA RD
P_LOCATION
01
QC Status
Approved
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EHD - Public
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PUBLIC HEALTH SERVICES <br /> SAN JOAQUIN COUNTY <br /> JOGI KHANNA M.D.,M.P.H. <br /> Health Officer <br /> P.O. Box 2009 • (1601 East Hazelton Avenue) •Stockton, California 95201 �4t i F o'ie.+�a• <br /> (209) 468-3400 <br /> MAY 13 7991 <br /> CHUCKBUROL <br /> USA PETROLEUM COMPANY C �� <br /> 1261 E NINTH ST <br /> POMONA CA 91766 <br /> RE: USA Petroleum #110 <br /> 2132 Mariposa Rd. SITE CODE: 1669 <br /> Stockton, CA 95206 CONTRACTOR #: 39000 <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 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 Linda <br /> Turkatte, EHS, at (209)468.3442. <br /> Jogi Khanna, M.D., M.P.H. q-D <br /> Health Offi a '- >+ m Ln o d <br /> i� rn <br /> .a y a c\ � N co o <br /> 0 � th m 0W <br /> Q = mE� 0 N <br /> MM = 00 Ul � <br /> .Yaurie A. Corolla, REHS, Program Manager L. 2' 0' <br /> Environmental Health Division ^ a ° H � � x o <br /> i LAC/LT:nr > ttl W H m o <br /> �` Enc. f"`o¢ xo H �@ <br /> c: S WRCB, Underground Storage Tank Section o io H z a O r o <br /> m <br /> c: CRWQCB, Central Valley Region boolp u w w m z <br /> p Q <br /> Q 0 2 m S E <br /> o <br /> 0661 ounrooge W10-1 Sd . <br /> Division of San Joaqui.. <br />
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