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12/18/2007 01:26 2093697813 WINE COUNTRY STATIDN <br />Request for Reconsideration (RFR) Form <br />BUSINESS NAME,F.acanr NAME) <br />GILL PANDHER INVESTME <br />STREET ADDRESS <br />1111 E. KETTLEMAN LANE <br />LODI <br />NAME <br />SANDEEP SINGH <br />TITLE OF APPLICANT <br />OWNER <br />MAILING ADDRESS n, <br />CITY <br />EMAIL ADDRESS <br />LLC <br />ADDRESS SAME AS FACLITY ADDRESS) <br />FACILITY Mff <br />J-3900 <br />PAGE 02 <br />RFR NO. <br />For SWRCB use only. <br />COUNTY <br />SAN JOAQUIN <br />95240 <br />( 209 ) 3bq - <br />[TING RE VEST <br />Of .OWNER Q3, BOTH 1 & 2 <br />O2. OPERATOR <br />PHONE <br />( 408) S06 9 ILA I <br />STATE I ZIP CODE <br />Please check reason(s) why you believe that the California State Water Resources Control Board (State Water Board) notification is in <br />error. If you are requesting reconsideration for reasons #1 through #3, documentation is required. If you do not include required <br />documentation, your request for reconsideration application will be considered incomplete and will be returned. Include all <br />supporting documentation you wish the State Water Board to consider when reviewing your request. All information submitted <br />with requests for reconsideration is subject to verification. <br />I. ❑ UST systems) is permanently closed. (DOCUMENTATION IS REQUIRED.) <br />2. El UST system(s) is exempt from regulation, according to Section 25281(x)(I)(A)-(D) of the Health and Safety Code, <br />or Section 2621 of Title 23 of the California Code of Regulations. For example, certain farm tanks and heating oil tanks are <br />exempt. (DOCUMENTATION IS REQUIRED.) <br />3. Q✓ Closest component of UST systems) is greater than 1,000 feet from well head of any public drinking water well. Check <br />applicable reason(s): If the request for reconsideration is based on evidence that the UST system in question is greater than <br />1,000 feet from a public drinking water well, include a demonstration that the well head is more than 1,000 feet <br />from the closest component of the UST system. (DOCUMENTATION IS REQUIRED.) <br />Q✓ UST facility incorrectly located in Geotmc;ker database. <br />Public drinking water well(s) incorrect located in Geotracker database. 4. aOther(ex lain : 11 Jre3 llgi <br />6t ZO �L <br />-333-0-1,40 <br />'"��yn- iAr• Lsap�• <br />NOTE: SUBMITTAL INSTRUCTIONS ON REVERSE SIDE OF THIS FORM <br />111. <br />Cerdficadon - i tern (y that the information provided herein ia'me and accurate1to he bet of <br />my knowledge. Knowingly submitting a request for reconsidera <br />based on false ar misleading information maybe considered a violation of Health and Safety Code, Section 25299, unishasu by nor up to request <br />$50fo <br />NAME OF APPLICANT (pent) <br />SANDEEP SINGH PHONE <br />SIGNATURE OF APPLICANT (408) 8069148 <br />12/18/2007 <br />FORSWRCB USE ONLY <br />7�N ht. II:HD I-L'I 1i, -KW Ulf,a:RE-CEI FE1) <br />iON RU, WVUi R£CEICcp By <br />