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SITE INFORMATION AND CORRESPONDENCE FILE 3
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2900 - Site Mitigation Program
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PR0541989
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SITE INFORMATION AND CORRESPONDENCE FILE 3
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Last modified
6/21/2019 5:29:52 PM
Creation date
6/21/2019 3:23:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
FILE 3
RECORD_ID
PR0541989
PE
2950
FACILITY_ID
FA0024100
FACILITY_NAME
COUNTRY CLUB VALERO
STREET_NUMBER
2575
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12302012
CURRENT_STATUS
01
SITE_LOCATION
2575 COUNTRY CLUB BLVD
P_LOCATION
01
QC Status
Approved
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STA' . c WATER RESOURCES CONTROL BUARD <br /> DIVISION OF CLEAN WATER PROGRAMS <br /> UST LOCAL OVERSIGHT PROGRAM <br /> STANDARD AGREEMENT NO. 9-020-550-0 <br /> NOTICE OF RESPONSIBILITY <br /> AGENCY NAME : SAN JOAQUIN COUNTY — ENVIRONMENTAL HEALTH DEPARTMENT <br /> SITE CODE: 1071 DATE FIRST REPORTED: 12/08/94 <br /> SITE NAME: FORMER SHELL SERVICE STATION SUBSTANCE: 8006619 <br /> ADDRESS: 2575 COUNTRY CLUB BLVD FEDERAL (Y) STATE (N) <br /> CITY: STOCKTON STATE: CA ZIP:95204 <br /> RESPONSIBLE PARTY: CALIFORNIA FUEL SUPPLY INC <br /> RESPONSIBLE PARTY CONTACT: DAVID HOOVER <br /> ADDRESS: 587 YGNACIO VALLEY ROAD <br /> CITY: WALNUT CREEK STATE : CA ZIP: 94596 <br /> Pursuant to Sections 25297. 1 and 25297. 15 of the Health and Safety Code , you are hereby notified that the <br /> above site has been placed in the Local Oversight Program and the individual(s) or entity(ies) shown above, or <br /> on the attached list, has(have) been identified as the party(ies) responsible for investigation and cleanup of the <br /> above site . Section 25297. 15 further requires the primary or active Responsible Party to notify all current <br /> record owners of fee title before the local agency considers cleanup or site closure proposals or issues a <br /> closure letter. For purposes of implementing section 25297 . 15, this agency has identified CALIFORNIA <br /> FUEL SUPPLY INC as the primary or active Responsible Party. It is the responsibility of the primary or active <br /> Responsible Party to submit a letter to this agency within 20 calendar days of receipt of this notice which <br /> identifies all current record owners of fee title. It is also the responsibility of the primary or active Responsible <br /> Party to certify to the local agency that the required notifications have been made at the time a cleanup or site <br /> closure proposal is made or before the local agency makes a determination that no further action is required . <br /> If property ownership changes in the future, you must notify this local agency within 20 calendar days from <br /> when you are informed of the change. <br /> Any action or inaction by this local agency associated with corrective action , including responsible party <br /> identification , is subject to petition to the State Water Resources Control Board . Petitions must be filed within <br /> 30 days from the date of the action/inaction . To obtain petition procedures , please FAX your request to the <br /> State Water Board at (916) 341 -5808 or telephone (916) 341 -5851 . <br /> Pursuant to Section 25299.37(c)(7) of the Health and Safety Code, a responsible party may request the <br /> designation of an administering agency when required to conduct corrective action. Please contact this office <br /> for further information about the site designation process. <br /> Contract Project Director: <br /> Z A > q3� 3 `{ 41 Date 14113 ,165 <br /> Signature U U Telephone Number <br /> Add : X Reason : RESPONSIBLE PARTY — Pro ;106S <br /> 1065 <br /> Delete: Reason : <br /> Change: Reason : <br /> (NOR REV 2004) <br />
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