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REMEDIAL ACTION CERTIFICATION FORM <br /> 1. Certification of Remedial or Removal Action: <br /> I hereby certify that the following information is true and c rrect to the best of my <br /> knowledge. <br /> roj ct Man=Site <br /> on Da e <br /> 2. /D 2 <br /> 2OI D <br /> Chief <br /> 'Date <br /> - <br /> 2. Certification Statement: Based upon the information which is currently and <br /> actually known to the Department, <br /> The Department has determined that all appropriate response <br /> actions have been completed, that all acceptable engineering <br /> practices were implemented and that no further removal/remedial <br /> action is necessary. <br /> The Department has determined, based up n a remedial <br /> investigation or site characterization that th site poses no <br /> significant threat to public health, welfareo the environment, and <br /> therefore implementation of removal/remedial measures is not <br /> necessary. <br /> X The Department has determined that all appropriate <br /> removal/remedial actions have been completed and that all <br /> acceptable engineering practices were imp emented; however, the <br /> site requires ongoing operation and mainte ance (O&M) and <br /> monitoring efforts. The site will be deleted rom the "active" site list <br /> following: (1) a trial operation and maintenc,nce period, and (2) <br /> execution of a formal written settlement between the Department <br /> and the responsible parties, if appropriate. However, the site will <br /> be placed on the Department's list of sites undergoing O&M to <br /> ensure proper monitoring of long-term clea -up efforts. <br /> 3. Site Name and Location: <br /> Former American Moulding and Millwork Company Site <br /> 2801 West Lane <br /> Stockton, California 95204 <br /> San Joaquin County <br /> 1 <br />