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* 0 <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> LOCAL OVERSIGHT PROGRAM <br /> Responsible Party Information as of 6/15/2005 <br /> LOP SITE FILE INFORMATION -- <br /> Locnl Ann�enc Lyse O_p�ly <br /> Case# 1883 Remedial oversight R00000486 <br /> Record ID <br /> Site Name SHELL SERVICE 204-7524-4 Site Record ID SD0000486 <br /> Location 3011 W BENJAMIN HOLT DR Facility Record ID EA0002111 <br /> STOCKTON,CA 95207 <br /> Current Site Business BEN HOLT SHEL L <br /> Phone 209-477-1703 �,`.i's <br /> APN 100-0 1701 � ``- -n- <•_� <br /> The following information is currently on file with this Department. The Primary Responsible Party <br /> identified below will be responsible for payment of invoices for direct oversight charges associated with this <br /> site. If this billing information is not accurate, please make necessary chances in the space provided,date, <br /> sign and return this form. <br /> Make changeslcorrections in RED ink or pencil. <br /> RESPONSIBLE PARTY INFORMATION <br /> RP INFORMATION CHANGE(date) <br /> PRI RP has been named a Primary RP. <br /> Business Name SHELL OIL PRODUCTS US <br /> Contact DENIS L BROWN <br /> Address 20945 S WILMINGTON AVE <br /> CARSON,CA 90810-1039 <br /> Phone <br /> BILLING and COMPLIANCE ACKNOWhourlyLEDGEMENT: I,the undersiwith thisgnesited owner,operator,primary responsidentifiedible party,or agePRIMAYnt of same,acknowPARTY <br /> ledge that all <br /> wil <br /> billed <br /> fsite,orma nd/or project specific,I also certify that all operaattions will erperformed associatedchages accordance with alll applicable theparty <br /> Codes and/or S ands ds and SatteNBLE anld/or Federal Lawsis <br /> TITLE: <br /> PRINTED NAME: <br /> REPRESENTING: <br /> Date <br /> SIGNATURE: <br /> Date 6/15/2005 <br /> Report#8021 <br />