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3500 - Local Oversight Program
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PR0543385
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
10/24/2018 9:46:33 PM
Creation date
10/24/2018 2:18:46 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0543385
PE
3528
FACILITY_ID
FA0002988
FACILITY_NAME
JIMMYS ONE STOP
STREET_NUMBER
30836
Direction
S
STREET_NAME
AIRPORT
STREET_TYPE
WAY
City
TRACY
Zip
95376
APN
24116002
CURRENT_STATUS
02
SITE_LOCATION
30836 S AIRPORT WAY
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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STATE OF CALIFORNIA-CALIFORNIA ENVIRONMENPROTECTION AGENCY PETE WILSON, Governor <br /> k .STATE WATER RESOURCES CONTROL BOARD I. i <br /> DIVISION OF CLEAN WATER PROGRAMS <br /> 2014 T STREET,SUITE 130 } <br /> P.O. BOX 944212 <br /> SACRAMENTO,CALIFORNIA 94244-2120 fj T <br /> (916) 227-4307 <br /> (916) 227-4530 (FAX) <br /> �j <br /> '! December 15, 1994 <br /> W. H. Fisk <br /> 30836 S. Airport Way <br /> Tracy, CA 95376 <br /> i :r <br /> UNDERGROUND STORAGE TANK CLEANUP FUND PROGRAM, R>=GUEST FOR FURTHER <br /> i <br /> DOCUMENTATION DURING CURSORY REVIEW; CLAIM NUMBE_ R OQ9338; FOR SITE ADDRESS: _ k <br /> 30836 S. Airport Way, Tracy, CA 95376 <br /> After reviewing your claim application for reimbursement, we find that the following additional <br /> information is needed to determine your eligibility for placement on the Priority List. <br /> A permit to own or operate the UST (pursuant to Chapter 6.7 of the Health and Safety' <br /> ode). Please provide copies of the removal permits fort your underground storage tanks_. <br /> Verification from the local regulatory agency that an unauthorized release of petroleum <br /> from the UST was discovered on a specified date. Please provide a copy of the <br /> Unauthorized Release Form filed with the San Joaquin County Environmental Health <br /> Department. <br /> If the release was discovered before January 1, 1988, documentation from the local <br /> regulatory agency indicating the cleanup was initiated on or prior to June 30, 1988. If the <br /> cleanup was not initiated on or before June 30, 1988, provide, documentation: from the J <br /> local regulatory agency stating no direction was given before June 30, 1988 to begin <br /> cleanup. <br /> A copy of the court approved settlement, final judgment; etc. for the third party <br /> c pensation claim. <br /> Additional priority class information: You did not provide. tax returns necessary to verify <br /> your eligibility for Priority Class B. Please submit copies of your applicable tax forms <br /> (1040, 1065 or 1 120) for 1591, 1992 and 1993. — <br /> Other: You did not provide your tax identification no. on IPage 1 of the application. If you <br /> are filing as an individual, please provide your social security number. If you applying as a <br /> partnership or corporation, please provide your Federal Tax 1. D. number. <br /> NOTE: Failure to respond to this request within thirty (30) calendar days from the date of this <br /> letter may result in an ineligibility determination of your claim. <br /> i <br /> If you have any questions, please contact me at (9 16) 227-4417. <br /> it <br /> Sincerely, <br /> Barbara Andersen, 'Claims Reviewer `+ <br /> Underground Storage Tank Cleanup Fund <br />
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