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SITE INFORMATION AND CORRESPONDENCE
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3500 - Local Oversight Program
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PR0544565
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
6/14/2019 2:15:06 PM
Creation date
6/14/2019 2:01:07 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0544565
PE
3528
FACILITY_ID
FA0025332
FACILITY_NAME
RALPH HAYES AND SON INC
STREET_NUMBER
835
Direction
W
STREET_NAME
CLOVER
STREET_TYPE
RD
City
TRACY
Zip
95376
CURRENT_STATUS
02
SITE_LOCATION
835 W CLOVER RD
QC Status
Approved
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EHD - Public
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DONALD N. & MAVIS W. HOFFMAN <br /> Page 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 <br /> reimbursement for corrective action costs incurred after January 1, 1988. <br /> Included in the instruction package are samples of completed reimbursement <br /> request forms and spreadsheets. <br /> • "Bid Summary Sheet" to list information on bids received which must be <br /> completed and returned. <br /> • "Certification of Non-Recovery From Other Sources" which must be returned <br /> before any reimbursements can .be made. <br /> • "Reimbursement Request" forms which you must use to request reimbursement <br /> of costs incurred. E <br /> 'Spreadsheet" forms which you must use in conjunction with your <br /> x reimbursement request. <br /> • "Claimant Data Record" (Std. Form 204)which must be completed.and <br /> returned with your first reimbursement request. 1 <br /> We continuously review the status of all active claims. If you do not submit a <br /> reimbursement request or fail to proceed with due diligence with the cleanup, we will <br /> `. take steps to withdraw your LOC. <br /> If you have any questions regarding the enclosed documents, please contact Nancy <br /> i <br /> Callsen at (916) 227-4311. <br /> Si erely, <br /> Dave Dea r Manager <br /> UST Clea Fund Pro am <br /> Enclosures <br /> cc: Mr. Gordon Boggs IMS. Margaret Lagorio <br /> RWQCB, Reg. 5 - Sacramento San Joaquin County EHD <br /> 3443 Routier Road P.O. Box 2009 <br /> Sacramento, CA 95827-3098 Stockton, CA 95201 <br /> Recycled Paper Our mission is to preserve and enhance.the quality oJCalifornia's water resources,and <br /> a ensure their proper allocation and efficient ase for the benefit of present and fitture generations. <br />
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