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`9V4, .. <br /> 007�WO <br /> Department of <br /> Toxic Substances <br /> Wate <br /> r Boards '� Control <br /> .....,.....,......... <br /> REMEDIAL ACTION AGREEMENT NOTIFICATION FORM <br /> Date: 5/20/22 <br /> SECTION I: LOCAL AGENCY INFORMATION <br /> Local Agency Name: San Joaquin County Environmental Health Department <br /> Local Agency Address: 1868 E. Hazelton, Stockton, CA 95205 <br /> Local Officer Information <br /> Name: Jeffrey Wong <br /> Title: Lead Senior Registered Environmental Health Specialist (Sr. REHS) <br /> Email: jwong@sjgov.org Phone: 1(209)468-0335 / (209) 616-3163 <br /> SECTION II: GENERAL SITE INFORMATION <br /> Site Information <br /> GeoTracker Site Name: to q/i� Global ID: ODd 0 �RBO 2 <br /> Is the GeoTracker Record Complete? Q Yes O No <br /> Local/State Agency Case Number(s): P — ��' i <br /> Site Address: v✓-A o or 1i A <br /> a <br /> Responsible Party o ct Proponent InformationI t <br /> ro e - <br /> Name: French Camp Holding Corp, o/a Pride Group Enterprises (Sulakhan "Sam" Johal) <br /> Email: jnair@trackonepm.com Phone: 905-564-1077 <br /> Address: 1100 Brickell Bay Drive #310747, Miami, Florida 33231 <br /> Property Owner Information (If Different from Responsible Party) <br /> Name: French Camp Holding Corp, o/a Pride Group Enterprises (Sulakhan "Sam" Johal) <br /> Email: jnair@trackonepm.com Phone: 905-564-1077 <br /> Address: 1100 Brickell Bay Drive #310747, Miami, Florida 33231 <br /> Page 1 of 4 <br /> Published December 10, 2021 Updated December 17, 2021 <br />