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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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2900 - Site Mitigation Program
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PR0524706
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
11/25/2020 10:41:12 AM
Creation date
7/7/2020 8:59:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0524706
PE
2960
FACILITY_ID
FA0016587
FACILITY_NAME
PORT OF STOCKTON
STREET_NUMBER
2201
Direction
W
STREET_NAME
WASHINGTON
STREET_TYPE
ST
City
STOCKTON
Zip
95203
APN
14503001
CURRENT_STATUS
02
SITE_LOCATION
2201 W WASHINGTON ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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I <br /> II <br /> Ij <br /> II <br />` C, <br /> t <br /> F <br /> i� <br /> 1 <br /> LETTER OF ACKNOWLEDGEMENT: All proposals and reports submitted must b <br /> accompanied by a cover letter from the responsible art ( ies) e <br />'! at a minimum, the following: p Y which states, <br /> E TO: SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES/ENVIRONMENTAL <br /> HEALTH DIVISION <br /> 1601 E. Hazelton Avenue <br /> ;i <br /> P. O. Box 2009 j <br /> Stockton, CA 95201 <br /> FROM: <br /> j11 <br /> i <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 whichjjrequired geologic or E <br /> engineering evaluations and/or judgements have been performed under the <br /> k <br /> direction of an appropriately registered or certified professional. <br /> �i <br /> The attached proposal or report utilizes they "Regional Board Staff <br /> Recommendations For Initial Evaluation and Infvestigation of Underground <br /> Tanks" and "Appendix A" reporting format. Th.e LOFT Manual has also been <br /> utilized as a guidance document. <br /> Furthermore, I (We) agree to submit, on the date noted, the following on the <br /> site (s) in question : <br /> 1. Submit a Soil Contamination Work Plan! and Soil Remediation <br /> Plan by to San ioaqu;in County PHS/EHD. <br /> OR <br /> 2. Submit a Preliminary Report by <br /> to the San Joaquin County PHS/EHD and the Central Valley <br /> Regional Water Quality Control Board (CVRWQCH) . <br /> signature and title date <br /> I <br /> j •j i <br /> I <br /> i <br /> I <br />
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