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SITE INFORMATION AND CORRESPONDENCE_CASE 1
Environmental Health - Public
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3500 - Local Oversight Program
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PR0545534
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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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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' minimum, the following: <br /> TO: SAN JOAQUIN COUNTY PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION - <br /> P. O. Box 2009 <br /> Stockton, CA 95201 <br /> FROM: <br /> (company name) <br /> RE: <br /> (facility' address) <br /> E <br /> I (We) declare, under penalty of perjury, that the information <br /> and/or recommendations contained in the attached proposal or report <br /> is/are true and correct, and that all work and reports which <br /> required geologic or engineering evaluations and/or judgments have <br /> been performed under the direction of an appropriately registered <br /> or 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, I (We) agree to submit, on the date noted, the <br /> following on the site(s) in question: <br /> 1. Submit a Soil Contamination Work Plan and Soil Remediation <br /> Plan by (date) to San Joaquin County PHS/EHD. <br /> AND/OR <br /> 2 . Submit a Preliminary Report by (date) <br /> to the San Joaquin County PHS/EHD and the Central Valley <br /> Regional Water Quality Control Board (CVRWQCB) . <br /> Signature and title date <br />
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