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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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LETTER OF ACKNOWLEDGMENT: <br /> TO: SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES i <br /> ENVIRONMENTAL HEALTH DIVISION 11 <br /> 445 SAN JOAQUIN ST. <br /> P.O. Box 2009 <br /> Stockton, CA 9520 . <br /> FROM: <br /> (company name) <br /> f <br /> RE: <br /> (facility address) <br /> I (We) declare that the information and/or -recommendations contained <br /> in any future proposal (s) or reports) is/are true and correct, and <br /> that all work and reports which required geologic or engineering <br /> evaluations and/or judgments have been. performed under the <br /> F direction of an appropriately registered or •certified professional. <br /> Any future proposal or report will utilize the "Regional Board <br /> Staff Recommendations For InitialEvaluation and Investigation of <br /> "Appendix A" reporting format. The LUFT <br /> Underground Tanks" and <br /> Manual will also be utilized as a guidance document. <br /> Furthermore, I (We) understand that the Local UST Oversight Program <br /> will evaluate our mitigation activities on the site(s) in question <br /> for the purpose of closure certification and that the•program is a <br /> cost recovery program. <br /> signature and title date <br />
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