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SITE INFORMATION AND CORRESPONDENCE_CASE 1
Environmental Health - Public
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SITE INFORMATION AND CORRESPONDENCE_CASE 1
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Last modified
3/13/2020 1:56:57 AM
Creation date
3/12/2020 11:55:17 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
CASE 1
RECORD_ID
PR0545534
PE
3528
FACILITY_ID
FA0001457
FACILITY_NAME
COLLEGEVILLE MARKET & CAFE
STREET_NUMBER
13521
Direction
E
STREET_NAME
MARIPOSA
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
18306007
CURRENT_STATUS
02
SITE_LOCATION
13521 E MARIPOSA RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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V <br /> TO: SAN JOAQUIN COUNTY PUBLIC HEALTH, <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION <br /> P. O. Box 2009 <br /> Stockton, CA 95201 <br /> FROM: <br /> RE:. Collegeville Market & .Cafe <br /> 13521 E.. Mariposa Road <br /> Stockton, CA 95205 <br /> Site Code: 2259-345 <br /> We declare; under Pena :ty7 bf Vperj ury;��that the information and/or -' <br /> recommendations contained in the attached proposal or, report is/are <br /> true and correct, and that all work and reports which required <br /> geologic or engineering evaluations' and/or judgments have been <br /> performed under the direction of an. appropriately registered or <br /> certified professional. <br /> The attached proposal or report utilizes -the "Regional Board Staff <br /> Recommendations for Initial Evaluation _ and Investigation of <br /> Underground Tanks" and "Appendix All reporting format. The LUFT <br /> Manual has also been utilized as a guidance document. <br /> Furthermore, we agree to submit, on the date noted, .the following <br /> on the site(s) in question: <br /> 1. Submit a Soil contamination Work Plan and Soil <br /> Recommendation Plan by- to San Joaquin <br /> County PHS/EHD. <br /> AND/OR <br /> 2 . Submit a Preliminary Report by <br /> to the San Joaquin PHS/EHD and the Central Valley Regional <br /> Water-;uzlity-Control--Beard (CVRj%TLL) i <br /> / C��",--- <br /> Dated: March (o , 1990 C� o <br /> ABE AYESH - <br /> Dated: March �o, 1990 '`�✓ <br /> SAMI - <br />
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