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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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2900 - Site Mitigation Program
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PR0517411
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
7/27/2020 2:07:35 PM
Creation date
7/27/2020 10:54:52 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0517411
PE
2950
FACILITY_ID
FA0013411
FACILITY_NAME
PAYLESS SHOE STORE
STREET_NUMBER
1160
Direction
W
STREET_NAME
YOSEMITE
City
MANTECA
Zip
95337
APN
21902033
CURRENT_STATUS
01
SITE_LOCATION
1160 W YOSEMITE
P_LOCATION
04
QC Status
Approved
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PUBLIC <br /> H <br /> EALTH SE M- CES <br /> oARufy <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DIVISION <br /> • I <br /> Karen Furst, M.D.;M.P.H., Health Officer <br /> 304 East Weber Avenue, Third Floor • Stockton, CA 95202 <br /> 9�'FOR`y�P <br /> 209/468-3420 <br /> PAYLESS SHOE STORE SEP <br /> 2 U 200) <br /> 1160 W YOSEMITE AVE <br /> MANTECA CA 95337 <br /> RE: Payless Shoe Store <br /> SITE CODE: 0001284 . i <br /> 1160 W. Yosemite Ave CONTRACTOR#: 39000 <br /> Manteca, CA 95337 <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 <br /> storage tank sites. <br /> Our goal is to certify completion of corrective action at underground storage tank leakage sites <br /> pursuant to California Code of Regulations, Division 3, Chapter 16, Article 11 (Corrective Action <br /> Regulations). These regulations govern the investigation and mitigation activities at leaking <br /> underground storage tank sites. To obtain a copy, please contact the State Water Resources <br /> Control Board at (916)657-2390. <br /> The"Tri-Regional Board Staff Recommendations For Preliminary Evaluation and Investigation of , <br /> Underground Tank Sites"along with its"Appendix A" and "Appendix B"should be used as <br /> guidance documents. All work and reports which require geological or engineering evaluations r <br /> must be performed under the direction of an appropriately California registered or certified k <br /> professional. <br /> Submit a work plan to investigate the.lateral and vertical extent of the contamination at this site by <br /> November 20, 2001. I <br /> A Remedial Action Completion letter will be provided after PHS/EHD has determined that. k <br /> no further site investigation or remedial action is required. <br /> If you have any questions or there are any corrections in the responsible party information, contact <br /> Margaret Lagorio at(209)468-3449. <br /> I <br /> Donna Heran, REHS, Director <br /> Environmental Health Division <br /> s <br /> Margaret Lagorio, REHS <br /> Supervisor, LOP/Site Mitigation Unit +'" <br /> i <br /> c: SWRCB, UST Section - Lori Casias . «� <br /> c: RWQCB, Central Valley Region—Marty Hartzell <br /> Other Responsible Party(ies): i <br /> c: None <br /> A Division of San Joaquin Counry Health Care Services <br /> I <br />
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