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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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941
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3500 - Local Oversight Program
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PR0545913
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
7/27/2020 7:28:02 PM
Creation date
7/27/2020 4:34:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545913
PE
3528
FACILITY_ID
FA0005531
FACILITY_NAME
TEXACO SERVICE STATION
STREET_NUMBER
941
Direction
E
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
CURRENT_STATUS
02
SITE_LOCATION
941 E YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
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r <br /> LETTER OF ACKNOWLEDGEMENT: All proposals and reports submitted must be ' <br /> accompanied by a cover letter from the responsible party ( ies) which states, ` <br /> at a minimum, the following: <br /> TO: SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES/ENVIRONMENTAL <br /> HEALTH DIVISION <br /> 1601 E. Hazelton Avenue <br /> P. O. Box 2009 <br /> Stockton, CA 95201 <br /> FROM: <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 which required geologic or <br /> engineering evaluations and/or judgements have been performed under the <br /> direction of an appropriately registered or certified professional. <br /> The attached proposal or report utilizes the "Regional Board Staff <br /> Recommendations For Initial Evaluation and Investigation of Underground <br /> Tanks" and "Appendix A" reporting format The 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 3an Joaquin County PHS/EHD. <br /> OR <br /> y <br /> 2. Submit a Preliminary Report by ' <br /> to the San Joaquin County PHS/EHD and the Central Valley i <br /> Regional Water Quality Control Boar (CVRWQCB) . <br /> --------------------------- ------------------------------------------ <br /> signature <br /> w---------r ----------------rr-------- -signature and title date <br />
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