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3500 - Local Oversight Program
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PR0544798
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
11/19/2024 10:19:51 AM
Creation date
9/3/2019 3:10:14 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0544798
PE
3528
FACILITY_ID
FA0010953
FACILITY_NAME
BIG O TIRES
STREET_NUMBER
1129
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
23229068
CURRENT_STATUS
02
SITE_LOCATION
1129 W ELEVENTH ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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� <br /> JUDITH A. BURICK <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. <br /> • "Spreadsheet" forms which you must use in conjunction with your <br /> reimbursement request. <br /> • "Claimant Data Record" (Std. Form 204) which must be completed and <br /> returned with your first reimbursement request. <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 Annabel L. <br /> Mackey at(916) 227-4334. <br /> Sincerely, <br /> C <br /> Dave De , Manager <br /> UST Cleanup Fund Program <br /> Enclosures <br /> cc: Mr. Gordon Boggs uMs. 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 /> %Icll Recycled Paper Our mission is to preserve and enhance the quality of California's water resources,and <br /> ensure their proper allocation and efficient use for the benefit q/fpresent and figure generations, <br />
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