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(C(0FCD)y <br /> 'iii l IJV <br /> i-L .,,;3::,1IIICEIZ <br /> 4 <br /> LETTER OF ACKNOWLEDGEMENT: All proposals and reports submitted must be <br /> accompanied by a cover letter from the responsible party ( ies) which states, <br /> at a minimum, the following : <br /> TO: SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES/ENVIRONMENTAL <br /> HEALTH DIVISION <br /> 1601 E. Hazelton Avenue <br /> P. O. Bok 2009 <br /> Stockton, CA 95201 <br /> FROM: <br /> I (We) declare, under penalty of perjury, that the information and/or <br /> recommendations contained in the attached proposal or report is/are true <br /> and correct, and that all work and reports which required geologic or <br /> engineering evaluations and/or judgements 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 Underground <br /> Tanks" and "Appendix All reporting format. The LOFT Manual has also been <br /> Utilized as a guidance document . <br /> Furthermore, I (We) agree to submit, on the date noted, the following on the <br /> site (s) in question: <br /> 1- Submit a Soil Contam nation Work Plan and Soil Remediation <br /> Plan by (date) d 21 to San Joaquin County PHS/EHD. <br /> OR lU <br /> 2. Submit a Preliminary Report by (date) ,2 U <br /> to the San Joaquin County PHS/EHD and the Central Valley <br /> Regional Water Quality Control Board (CVRWQCB) . <br /> agnature and title <br /> date <br /> Site Gott 17 0 3 <br />