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SITE INFORMATION AND CORRESPONDENCE_FILE 1
Environmental Health - Public
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2900 - Site Mitigation Program
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PR0528433
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SITE INFORMATION AND CORRESPONDENCE_FILE 1
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Last modified
4/3/2020 2:46:38 PM
Creation date
4/3/2020 2:30:39 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
FILE 1
RECORD_ID
PR0528433
PE
2957
FACILITY_ID
FA0019174
FACILITY_NAME
CHEVRON SERVICE STATION 9-6171
STREET_NUMBER
6633
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
09741048
CURRENT_STATUS
02
SITE_LOCATION
6633 PACIFIC AVE
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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i <br /> 06 <br /> LETTER OF ACKNOWLEDGMENT: <br /> TO: SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 445 SAN JOAQUIN ST. <br /> P.O. Box 2009 <br /> Stockton, CA 95201 <br /> FROM: <br /> (company name) <br /> RE: <br /> (facility address) <br /> I (We) declare that the information and/or recommendations contained <br /> in the attached proposal or report is/are true and correct, and <br /> that all work and reports which required geologic or engineering <br /> evaluations and/or. judgments have been performed under the <br /> direction of an appropriately registered 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) understand that the Local UST Oversight Program <br /> will evaluate our mitigation activities on the site(s) in question <br /> for the purpose of closure certification and that the program is a <br /> cost recovery program. <br /> signature and title date <br /> I <br />
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