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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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4445
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2900 - Site Mitigation Program
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PR0541263
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
4/13/2020 2:05:33 PM
Creation date
4/13/2020 1:53:54 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0541263
PE
2950
FACILITY_ID
FA0023640
FACILITY_NAME
PERSHING GAS FOR LESS
STREET_NUMBER
4445
Direction
N
STREET_NAME
PERSHING
STREET_TYPE
AVE
City
STOCKTON
Zip
95210
APN
11018006
CURRENT_STATUS
01
SITE_LOCATION
4445 N PERSHING AVE
P_LOCATION
01
QC Status
Approved
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EHD - Public
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4 <br /> 4. LETTER OF ACKNOWLEDGEMENT: All proposals and reports submitted must be <br /> accompanied by a cover letter from the responsible party(ies) which states, at <br /> F. a minimum, the following: <br /> TO: SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES/ENVIRONMENTAL <br /> HEALTH DIVISION <br /> P. O. Box 2009 <br /> Stockton, CA 95201 <br /> I` FROM: <br /> (company name) <br /> RE: <br /> (facility address) <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 and <br /> correct, and that all work and reports which required geologic or engineering <br /> evaluations and/or judgments have been performed under the direction of an <br /> 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 Tanks" <br /> and "Appendix A" reporting format. The LUFT Manual has also been utilized as <br /> . 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 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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