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3500 - Local Oversight Program
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PR0544111
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
2/7/2019 12:29:29 PM
Creation date
2/7/2019 10:28:07 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0544111
PE
3528
FACILITY_ID
FA0003625
FACILITY_NAME
ARCO STATION #83560*
STREET_NUMBER
2908
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95207
APN
09763032
CURRENT_STATUS
02
SITE_LOCATION
2908 W BENJAMIN HOLT DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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Chevron Products Company -2- <br /> The following documents needed to submit your reimbursement request are enclosed: <br /> "Reimbursement Request Instructions" package.--Retain this package-for future <br /> reimbursement requests. These instructions must be followed when seeking reimbursement for <br /> corrective action costs incurred after January 1, 1988. Included in the instruction package are <br /> samples of completed reimbursement request forms and spreadsheets. <br /> • "Bid Summary Sheet" to list information on bids received which must be completed and <br /> returned. <br /> • "Reimbursement Request" forms which you must use to request reimbursement of costs <br /> incurred. <br /> • "Spreadsheet" forms which you must use in conjunction with your reimbursement r <br /> request. <br /> • "Claimant Data Record" (Std. Form 204)which must be completed and returned with your <br /> first reimbursement request. <br /> We continuously review the status of all active claims. If you do not submit a reimbursement <br /> request or fail to proceed with due diligence with the cleanup, we will take steps to withdraw <br /> your LOC. <br /> If you have any questions regarding the enclosed documents, please contact Judy Reid at <br /> (916) 341-5760. <br /> Sincerely, 1 <br /> tom' <br /> Allan V. Patto ager <br /> Underground S age Tank eanup Fund <br /> Enclosures <br /> cc: Mr. Gordon Boggs <br /> RWQCB,Reg. 5 - Sacramento <br /> 3443 Routier Road <br /> Sacramento, CA 95827-3098 <br /> Ms..Margaret Lagorio <br /> San Joaquin County EHD ' <br /> P.O. Box 2009 <br /> Stockton, CA 95201 <br /> California ER vironmeatal Protection Agency <br /> �. Recyc%d Pape, <br />
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