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a' <br /> Request for Oversight of a Brownfield Site <br /> The purpose of this application is to provide the Department of Toxic Substances <br /> Control and the Regional Water Quality Control Board sufficient information to <br /> determine which agency should provide oversight for the assessment or <br /> remediation of the site. This application is to be accompanied by the site <br /> information described in the document "Site Information Needed for Oversight <br /> Agency Selection." <br /> A Request for Oversight of a Brownfield Site may be submitted by any person, <br /> regardless of their relationship to the site. However, the person requesting <br /> oversight must possess all necessary rights and access to the site so that they <br /> can carry out any and all activities that the oversight agency may require in <br /> making its regulatory decision. <br /> Site Name and other names by which the site is known: <br /> Submitted by: <br /> Contact Information <br /> Mailing address: <br />