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SITE INFORMATION AND CORRESPONDENCE FILE 3
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SITE INFORMATION AND CORRESPONDENCE FILE 3
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Last modified
6/24/2019 10:55:23 AM
Creation date
6/24/2019 10:04:02 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
FILE 3
RECORD_ID
PR0544595
PE
3528
FACILITY_ID
FA0002048
FACILITY_NAME
TESORO (Shell) 68221(WRR 6290)
STREET_NUMBER
2705
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12121008
CURRENT_STATUS
02
SITE_LOCATION
2705 COUNTRY CLUB BLVD
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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STATE WATER RESOURCES CONTROL BOARD <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: 1072 DATE FIRST REPORTED: 09/27/91 <br /> SITE NAME: EXXON #73708 SUBSTANCE: 8006619 <br /> ADDRESS: 2705 COUNTRY CLUB BLVD FEDERAL (Y) STATE (N) <br /> CITY: STOCKTON STATE:CA ZIP: 95204 <br /> RESPONSIBLE PARTY: PALISADES GAS & WASH <br /> RESPONSIBLE PARTY CONTACT: CHUCK NICHOLS <br /> ADDRESS: 30101 AGOURA CT#200 <br /> CITY: AGOURA HILLS STATE: CA ZIP: 91301 <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 PALISADES GAS & <br /> WASH as the primary or active Responsible Party. It is the responsibility of the primary or active Responsible <br /> Party to submit a letter to this agency within 20 calendar days of receipt of this notice which identifies all <br /> current record owners of fee title. It is also the responsibility of the primary or active Responsible Party to <br /> certify to the local agency that the required notifications have been made at the time a cleanup or site closure <br /> proposal is made or before the local agency makes a determination that no further action is required. If <br /> property ownership changes in the future, you must notify this local agency within 20 calendar days from when <br /> 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) 227-4349 or telephone (916) 227-4408. <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 Dire tor: <br /> ci y � q -_3 Date 151 If 1�3 <br /> Signature Telephone Kumber <br /> Add: X Reason: RESPONSIBLE PARTY <br /> Delete: Reason: <br /> Change: Reason: <br /> (NOR REV 01/29/99[RECEIVED 02/16199]) <br />
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