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FIELD DOCUMENTS
Environmental Health - Public
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EHD Program Facility Records by Street Name
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3500 - Local Oversight Program
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PR0545784
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Last modified
6/1/2020 12:58:35 PM
Creation date
6/1/2020 12:51:48 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0545784
PE
3528
FACILITY_ID
FA0005413
FACILITY_NAME
LAURA SCUDDERS
STREET_NUMBER
100
Direction
W
STREET_NAME
VALPICO
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
24802015
CURRENT_STATUS
02
SITE_LOCATION
100 W VALPICO RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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copy . � <br /> 5 <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 /> 1 <br /> TO: SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES/ENVIRONMENTAL <br /> HEALTH DIVISION <br /> 1601 E. Hazelton Avenue <br /> P. O. Box 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 tave -beeri 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 Inveistigation of Underground <br /> Tanks" and "Appendix A" reporting format . The LUFT Manual has also been <br /> utilized as a guidance document. f <br /> 'Furthermore, I (We) agree to submit , on the date noted, the following on the <br /> site (s) in question : S <br /> i <br /> 1 . Submit a Soil Contamination Work Plan and Soil Remediation <br /> Plan by to San Joaquin County PHS/EHD. <br /> OR I�I <br /> h <br /> 2. Submit a Preliminary Report by <br /> h <br /> to the San Joaquin County PHS/EHD and the Central Valley <br /> Regional Water Quality Control Board (CVRWQCB) . <br /> - - I <br /> i <br /> -------------------------------.-__________-_______-__-_-___-______----_--- <br /> Signature and title date I� <br /> i <br /> h <br />
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