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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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13889
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3500 - Local Oversight Program
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PR0545719
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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 11:22:36 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545719
PE
3528
FACILITY_ID
FA0005335
FACILITY_NAME
CHARLES JACOBS
STREET_NUMBER
13889
Direction
W
STREET_NAME
STATE ROUTE 12
City
LODI
Zip
95240
CURRENT_STATUS
02
SITE_LOCATION
13889 W HWY 12
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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PUBLIC 1—IEALTH SERVICES oPa�,N <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DIVISION <br /> Ernest M. Fujimoto, M. D., M.P.H., Acting Health Officer • . <br /> 304 East Weber Avenue, Third Floor • Stockton, CA 9520 <br /> 209/468-3420 <br /> COP <br /> CHARLES JACOBS MAR 2 5 1991 <br /> TERMINOUS MARKET <br /> P O BOX 8820 <br /> STOCKTON CA 95290 <br /> RE: CHARLES JACOBS SITE CODE: 1905 <br /> 13889 W HWY 12 CONTRACTOR#: 39000 <br /> LODI CA 95240 <br /> The attached"Notice of Responsibility" is official notification that your site has been assigned to <br /> the San Joaquin County Public Health Services, Environmental Health Division's Local Oversight <br /> Program for oversight of assessment and clean up activities at contaminated underground storage <br /> tank sites. <br /> The goal of the site evaluation performed by Public Health Services, Environmental Health <br /> Division (PHS-EHD) is to certify closures of underground storage tank leakage sites pursuant to <br /> California Code of Regulations, Division 3, Chapter 16, Article 11 (Corrective Action Regulations). <br /> These regulations govern the investigation and mitigation activities at leaking underground <br /> storage tank sites. To obtain a copy, please contact the SWRCB at(916)657-2390. Remedial <br /> Action Completion certification occurs only after PHS/EHD has determined that no further <br /> site investigation or remedial action is required. <br /> All work and reports which require geological or engineering evaluations must be performed under <br /> the direction of an appropriately California registered or certified professional. <br /> PHS/EHD directs you as responsible party to submit a work plan no later than May 1, 1997, which <br /> when implemented, will fully define the vertical and lateral extent of contamination distribution. <br /> If you have any questions or there are any corrections in the responsible party information, <br /> contact Ronald Rowe at(209)468-0342. <br /> Donna Heran, REHS, Director <br /> Environmental Health Division <br /> &YVJA k). "-L& <br /> Ronald Rowe, Senior REHS Margaret Lagorio, REHS <br /> LOP/Site Mitigation Unit IV Supervisor <br /> RR:Ib <br /> c: SWRCB, Underground Storage Tank Section - Lori Casias <br /> c: RWQCB, Central Valley Region -Elizabeth Thayer <br /> A Division of San Joaquin County Health Care Services / <br />
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