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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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12 (STATE ROUTE 12)
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3049
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3500 - Local Oversight Program
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PR0545717
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
11/19/2024 3:47:36 PM
Creation date
6/3/2020 11:12:25 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545717
PE
3528
FACILITY_ID
FA0003912
FACILITY_NAME
MARTINIS BAIT & TACKLE
STREET_NUMBER
3049
Direction
W
STREET_NAME
STATE ROUTE 12
City
LODI
Zip
95240
APN
02514016
CURRENT_STATUS
02
SITE_LOCATION
3049 W HWY 12
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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oPp��N <br /> -PUBLIC HEALTH SERVICES� �. ._..� .�G <br /> SAN JOAQUIN COUNTY <br /> JOGI KHANNA M.D.,M.P.H. <br /> Health Officer <br /> P.O. Box 2009 (1601 East Hazelton Avenue) Stockton,California 95201 <br /> (209) 468-3400 <br /> November 15, 1990 <br /> Surendra & Shobhana Patel <br /> 607 S. Cherokee Lane <br /> Lodi, CA 95240 <br /> RE: Idle Wild Market SITE CODE: 1615 <br /> 3049 W. Hwy. 12 r` CONTRACTOR #: 39000 <br /> Lodi, CA 95240 <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. You have <br /> been listed as the primary "Responsible Party" (RP) and the former property owner, Mr. George Gemellos, <br /> is listed as an additional RP. <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 /> 4 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 /> I, Manual will be utilized as guidance documents in the preparation of,work plans and/or reports. <br /> I <br /> ti <br /> 5 <br /> A Division of San Joaquin County Health Care Service <br />
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