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COMPLIANCE INFO_PRE 2019
Environmental Health - Public
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2900 - Site Mitigation Program
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PR0503633
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COMPLIANCE INFO_PRE 2019
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Last modified
5/4/2021 1:19:03 PM
Creation date
5/4/2021 1:08:32 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0503633
PE
2950
FACILITY_ID
FA0005913
FACILITY_NAME
WATERLOO SHELL
STREET_NUMBER
4315
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
08710034
CURRENT_STATUS
02
SITE_LOCATION
4315 WATERLOO RD
QC Status
Approved
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EHD - Public
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PUBIlt HEALTH SERv ICES <br />SAN JOAQUIN COUNTY S9 - Di (4- <br />1001 KHANNA NI.1) • M.P.H . s9 01+7 <br />Health Officer <br />P.O. Box 2009 • (1601 East liazelton Avenue) • Stockton, California 95201 <br />(209) 468-34(X) <br />SEP 03 1993 <br />David L. Poulsen <br />Project Geologist <br />Aegis Environmental, Inc. <br />scz-- <br />Donna Herart, Program Manager <br />Site Mitigation Unit <br />Environmental Health Division <br />DATE: <br />TO: <br />FROM: <br />RE: Shell Service Stations <br />880 Victor Rd., Lodi <br />4315 Waterloo Rd., Stockton <br />A request for a report review of activities at the above referenced <br />facilities has been received by our office. <br />We are unable to process this submittal until the following is <br />provided: <br />Minimum review fee of $234 (see attached Fee schedule) <br />per site. <br /> Monitoring well/soil boring permit application fee of <br /> A completed "Site Mitigation/Request for Services Form" <br />signed by person, or authorized representative of person, <br />responsible for payment of hourly charges. (Form EH 29 <br />01 attached). <br /> A copy of "Guidelines for Work Plan and Report Submittal" <br />which includes appropriate forms and fee schedule is <br />included for your reference. <br />If the requested information and/or fees are not submitted within <br />30 days of the date of this letter, this request will be considered <br />canceled and the submitted information disregarded. <br />If you have any questions, please contact Steve Sasson, Senior <br />REHS, of my staff at (209) 468-0339, or myself at (209) 468-3450. <br />A Division ot San loaquin Counts. Hralth I arc Serwes <br />X
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