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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0004367
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
5/7/2020 4:05:33 PM
Creation date
5/7/2020 3:46:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0004367
PE
2951
FACILITY_ID
FA0004052
FACILITY_NAME
FARM UGT
STREET_NUMBER
18775
Direction
S
STREET_NAME
TOM PAINE
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
21302030
CURRENT_STATUS
02
SITE_LOCATION
18775 S TOM PAINE RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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PUBL C HEALTH SE'eICES <br /> " <br /> SAN JOAQU€N COUNTY <br /> YOGI hHANIvA i\{.1_),M.P H <br /> Health Officer <br /> P.O. Box 2009 a (1601 East Hazelton Avenue) • Stockton, California 95201 <br /> (209) 468-3400 <br /> cc <br /> DATE: October 10, 1991 <br /> -TO: William J. Hunter and Assoc <br /> 2220 :Loma Vista Drive <br /> Sacramento, CA 95825 ` <br /> FROM: Laurie A Cotulla, .Program Manager <br /> Site Mitigation Unit <br /> Environmental- Health Division <br /> RE: 18775 Tom Paine Road <br /> Tracy, CA <br /> A request for site assessment and/or remediation activity at the <br /> above referenced facility has been received by our office.. <br /> We are unable to process this submittal until the following is <br /> provided: <br /> X Minimum 'review fee of ..$265. 00 (see attached Fee <br /> Schedule) .. <br /> x Monitoring well/soil boring permit application fee of <br /> 89. 00. . <br /> X A completed . "Site Mitigation/Request for Services Form" <br /> signed by person, or authorized representative of person, <br /> responsible for payment of ;hourly charges. (Form EH 29 <br /> 01 attached) . <br /> A copy of "Guidelines fore Work Plan and Report Submittal" <br /> which includes appropriate forms and fee schedule is <br /> included for your reference. <br /> If the requested information and/or fees are not submitted- within <br /> 30 days of the date of this letter, :this request will be considered <br /> canceled and the submitted information disregarded. J <br /> if you have any questions, please contact Diane Hinson, Supervising <br /> REHS, of my staff at (209) 468-3452, or myself at (209) 468-3450. <br /> i <br /> A Division of San Joaquin Counry Hcalth Carr Services <br />
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