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3500 - Local Oversight Program
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PR0544300
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
4/2/2019 4:12:50 PM
Creation date
4/2/2019 3:23:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0544300
PE
3528
FACILITY_ID
FA0003855
FACILITY_NAME
TESORO (SHELL) 68153
STREET_NUMBER
2448
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
05814001
CURRENT_STATUS
02
SITE_LOCATION
2448 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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STATE WATER RESOURCES CONTROL BOARD <br /> DIVISION OF WATER QUALITY <br /> UST CLEANUP PROGRAM C <br /> � <br /> NOTICE OF REIMBURSEMENT <br /> WHEN FEDERAL FUNDEE ARE USED <br /> 4/12/85 <br /> SITE CODE: 1948 DATE FIRST REPORTED: <br /> SITE NAME: Fast Gas SUBSTANCE: 12032 <br /> ADDRESS: 800 E. Hwy. 12 PETROLEUM: Y <br /> CITY: Lodi, CA ZIP 95240 <br /> The following information has beer provided to: , <br /> RESPONSIBLE PARTY: Ultramar, Ind. <br /> CONTACT: Glenn Dembro f <br /> ADDRESS: P.O. Box 466 <br /> CITY: Hanford STATE: CA ZIP: 93232-0466 <br /> Whereas the federal Petroleum Loak' ng Underground Storage Tank <br /> I Trust fund provides funding to pay the local and state agency <br /> administrative and oversight associated with the cleanup of <br /> releases from underground storage tanks; and Whereas the direct and <br /> indirect costs of overseeing removal or remedial action at the <br /> above site are funded, in whole or in part, from the federal Trust <br /> Fund; and Whereas the above individual (s) or entity (ies) have <br /> i been identified as the party or parties responsible for <br /> investigation and cleanup of the above site; YOU ARE HEREBY <br /> NOTIFIED pursuant to Subdivision (h) of Section 699 (b) of the <br /> United States Code, the above Responsible Party or Parties shall . :. <br /> reimburse the State Water Resources Control Board for all direct <br /> and indirect costs incurred by any and all state and local agencies <br /> while overseeing the cleanup of the above underground storage tank' <br /> site, and the above Responsible Party or Parties shall make full <br /> payment of such costs within 30' days of receipt of a detailed <br /> invoice from the State Water Resources Control Board. <br /> CONTRACT PROJECT DIRECTOR: <br /> DATE: ;~ <br /> Signature T lep ne Number <br /> STANDARD FORM UST02 (3/88) <br /> NORFED/4/89 <br /> a <br /> i <br />
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