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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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2900 - Site Mitigation Program
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PR0545730
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
4/14/2021 12:56:54 PM
Creation date
4/14/2021 12:42:26 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545730
PE
2957
FACILITY_ID
FA0005194
FACILITY_NAME
DONNA GARDNER
STREET_NUMBER
26056
STREET_NAME
THORNTON
STREET_TYPE
RD
City
THORNTON
Zip
95686
APN
00115046
CURRENT_STATUS
02
SITE_LOCATION
26056 THORNTON RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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Jogi Khanna, D., M.P.H. <br />health Offic <br />ric A. Cot ulla, RI l I., Program Manager <br />nvironmental I lean Division <br />LAC/Elt:nr <br />Enc. <br />c: SWItCli, Underground Storage Tank Section <br />c: CRWQCB, Central Valley Region <br />PUBLIC HEALTH SERVICES <br />SAN JOAQUIN COUNTY <br />JOG! KHANNA M.D., M.P.H. <br />Health Officer <br />P.O. Box 2009 • (1601 East Hazelton Avenue) • Stockton, California 95201 <br />(209) 468-3400 <br />September 6, 1990 <br />Donna Gardner <br />Donna Gardner Property <br />1206 W. Struck <br />Orange, CA 92667 <br />RE: Donna Gardner Property <br />26080 Thornton Rd. <br />Thornton, CA 95686 <br />SITE CODE: 1864 <br />CONTRACTOR #: 39000 <br />The attached "Notice of Reimbursement" is official notification that your site has been assigned to the San Joaquin <br />County Public Health Services, Environmental Health Division's Local UST Oversight Program for oversight of <br />assessment and clean up activities at contaminated underground tank sites. <br />Fees for review activities and inspections associated with contaminated site assessment activities will not be billed by this <br />office. Thc State Water Resource Control Board (SWI2C13) will invoice you directly for activities performed under the <br />auspices of the Local UST Oversight Program. The goal of the site evaluation performed by Public Health Services <br />Environmental Health Division (PHS/EFID) is to certify closures of underground tank leakage sites. Closure certification <br />occurs only after mitigation activities arc completed. <br />A Letter of Acknowledgment is enclosed for your completion and return. Your acknowledgment of the placement of <br />your site into the Local UST Oversight Program as stated above is respectfully requested. In addition, the individual or <br />individuals authorizing the continued investigation shall provide identification with respect to their title of authority. <br />In addition, this Acknowledgment indicates that the "Regional Board Staff Recommendations For Initial Evaluation and <br />Investigation of Underground Tanks" and "Appendix A" reporting format and the LUI7 Manual will be utilized as <br />guidance documents in the preparation of work plans and/or reports. <br />If you have any questions or there are any corrections in the responsible party information, contact Eleanor Ratliff, <br />REI IS, at (209) 468-3454. <br />IPs Form 3800. June 1985 U.S.G.P.0 1989-234-55 Postmark or Date . TOTAL Postage and Fees IReturn Receipt showing to whom, Date. and Address of Delivery Return Receipt showing to whom and Date Delivered Restricted Delivery Fee Special Delivery Fee Certified Fee -o 0 ,..._ a, QD co P0 State and ZIP Code Orange, CA 92667 _ _ Street and No 1206 W. Struck Sent to Donna Gardnel• Dnrina C; r n /fa -r- P rvr, N.) . <br />C) <br />0 <br />. <br />LC) <br />C) <br />• <br />CO <br />Ul 25 <br />ilk" Division of San Joaquin County Health Care Services ' <br />44
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