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SITE INFORMATION AND CORRESPONDENCE
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2900 - Site Mitigation Program
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PR0541437
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
7/24/2019 11:15:08 AM
Creation date
7/24/2019 11:10:04 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0541437
PE
2965
FACILITY_ID
FA0023751
FACILITY_NAME
MCBILLIN PROPERTY
STREET_NUMBER
2154
Direction
S
STREET_NAME
EL DORADO
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
16705021
CURRENT_STATUS
01
SITE_LOCATION
2154 S EL DORADO ST
P_LOCATION
01
QC Status
Approved
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EHD - Public
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Mcbillin Real Estate Investment -2- <br /> Claim No . 019788 <br /> I <br /> corrective action costs required by the regulatory agency to protect human health , <br /> safety and the environment can be claimed for reimbursement. <br /> The following documents must be submitted when seeking reimbursement. The Fund <br /> will not reimburse costs incurred prior to January 1 , 1988 : <br /> 1 . The Conditions of Payment Certification form . This form must be submitted <br /> with your first reimbursement request. <br /> 2 . A Reimbursement Request Form (enclosed ). Two copies of this form have <br /> been enclosed for your use in this packet. Instructions for filling out the <br /> Reimbursement Request form can be found on the back of the form . <br /> 3 . A Reimbursement Request Spreadsheet. This form is used to organize and <br /> track corrective action costs incurred . After completion , this spreadsheet must be <br /> printed and submitted with your reimbursement request. Additionally, you must <br /> submit the completed spreadsheet electronically to the Fund . <br /> The Conditions of Payment Certification form and Reimbursement Request spreadsheet <br /> can be found on the Fund ' s website at: <br /> http ://www. waterboards . ca . gov/water issues/programs/ustcf/forms . shtml . <br /> M THIS IS IMPORTANT TO YOU , PLEASE NOTE : <br /> Signature(s) on the application will be the signature(s) required for all future Fund <br /> documents . <br /> We encourage claimants to sign all Fund documents personally . However, there may <br /> be circumstances where a claimant wants a representative to be able to sign Fund <br /> documents on the claimant's behalf. In this situation , claimants must submit a notarized <br /> Power of Attorney form designating a specific representative to sign and submit <br /> documents to the Fund . The designated representative should not be a consultant or <br /> contractor performing work on the project site because it would create a conflict of <br /> interest. Claimants should be aware that they are personally responsible and bound by <br /> any assertions made to the Fund pursuant to a Power of Attorney. (An appropriate <br /> Power of Attorney form is available on our web site or by request, however other forms <br /> may also be acceptable . ) <br /> If the site is closed : Claimants have 365 days from the date of the site closure letter or <br /> from the date of this LOC , whichever occurs later, to submit cleanup costs to the Fund <br /> for reimbursement. All remediation costs , including monitoring well destruction and <br /> abandonment costs and case closure costs , must be submitted to the Fund prior to the <br /> 365-day deadline . The Fund will not reopen your claim or reimburse costs submitted <br /> after the deadline . <br />
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