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I4, <br /> Pf1ervry iFG. Enunn Jv. <br /> Mnnnaw Rme,auc_ <br /> Nater Bards <br /> Central Valley Regional Water Quality Control Board <br /> ACKNOWLEDGMENT OF RECEIPT OF <br /> OVERSIGHT COST REIMBURSEMENT ACCOUNT LETTER <br /> I, acting within the authority vested in me as <br /> an authorized representative of <br /> a corporation, acknowledge that I have received <br /> and read a copy of the attached REIMBURSEMENT PROCESS FOR REGULATORY <br /> OVERSIGHT and the cover letter dated 26 May 2016 concerning cost reimbursement for <br /> Central Valley Water Board staff costs involved with oversight of cleanup and abatement efforts <br /> at the Shell pipeline 2016 Release, 25705 Patterson Pass Road, Tracy, San Joaquin <br /> County. <br /> I understand the reimbursement process and billing procedures as explained in the letter. Our <br /> company is willing to participate in the cost recovery program and pay all subsequent billings in <br /> accordance with the terms in your letter and its attachments, and to the extent required by law. a <br /> I also understand that signing this form does not constitute any admission of liability, but rather <br /> only an intent to pay for costs associated with oversight, as set forth above, and to the extent <br /> required by law. Billings for payment of oversight costs should be mailed to the following <br /> individual and address: <br /> BILLING CONTACT <br /> BILLING ADDRESS <br /> y <br /> r. <br /> TELEPHONE NO. <br /> RESPONSIBLE PARTY'S SIGNATURE <br /> (Signature) <br /> (Title) <br /> DATE: <br /> KARL E. LONCLE�SCD, P.E., c,/nhr. PAMELR C. CMECJON P.E., BCEE, DCLOunv[0MCIa <br /> 11020 Sun Cental Drive 5200,Rancho Cortlova,CA 95675 www.waterboards.Ca.Pov/centralvalley <br />