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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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3500 - Local Oversight Program
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PR0545652
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
5/6/2020 12:31:37 PM
Creation date
5/6/2020 12:22:27 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545652
PE
3528
FACILITY_ID
FA0003638
FACILITY_NAME
JEMCO VENETIAN CARDLOCK
STREET_NUMBER
4555
Direction
N
STREET_NAME
PERSHING
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
11017001
CURRENT_STATUS
02
SITE_LOCATION
4555 N PERSHING AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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PUBLIC HEALTH SER' ICES 9.*°�U�co <br /> SAN JOAQUIN COUNTY Q � <br /> • JOGI KHANNA N,11),1f.!`IA <br /> Hol[h Offi(er • �;. P <br /> 4��FO�e <br /> P.O. Box 2009 0 (1601 East Hazeiton Avenue) • Stockton, California 95201 <br /> (209)468.3400 <br /> TOM POTVIEN <br /> BOETTCHER WESTERN PROPERTIES ❑ <br /> 828 1717H STREET STE 430 <br /> DENVER CO 80202 MAR D 9 1992 <br /> RE: Card Lock Station SITE CODE: 1953 <br /> 4555 N. Pershing CONTRACTOR #: 39000 <br /> Stockton CA 95207 <br /> The attached "Notice of Reimbursement' is official notification that your site has been assigned to the San <br /> Joaquin County Public Health Services,Environmental Health Division's Local UST Oversight Program <br /> for oversight of assessment and clean up activities at contaminated underground tank sites. <br /> Fees for review activities and inspections associated with contaminated site assessment activities will not be <br /> billed by this office. The State Water Resource Control Board (SWRCB) will invoice you directly for <br /> activities performed under the auspices of the Local UST Oversight Program. The goal of the site <br /> evaluation performed by Public Health Services Environmental Health Division (PHS/EHD) is to certify <br /> closures of underground tank leakage sites. Closure certification occurs only after mitigation activities are <br /> completed. <br /> A Letter of Acknowledgment is enclosed for your completion and return. Your acknowledgment of the <br /> placement of your site into the Local UST Oversight Program as stated above is respectfully requested. In <br /> addition, the individual or individuals authorizing the continued investigation shall provide identification <br /> with respect to their title of authority. <br /> In addition, this Acknowledgment indicates that the 'Regional Board Staff Recommendations For Initial <br /> Evaluation and Investigation of Underground Tanks" and "Appendix A" reporting format and the LUFT <br /> Manual will be utilized as guidance documents in the preparation of work plans and/or reports. <br /> If you have any questions or there are any corrections in the responsible party information, contact <br /> Michael Collins, EHS, at (209) 468 0338. <br /> Jogi Khanna, M.D., M.P.H. <br /> Health Officer, <br /> �Q L <br /> urie A. Cotulla, REHS, Program Manager <br /> Environmental Health Division <br /> LAC/MC:lb <br /> Enc. <br /> c: SWRCB, Underground Storage Tank Section <br /> c: CRWQCB, Central Valley Region <br /> �r A Division of Sen lo2quin County Health Care Scrvices <br />
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