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STATE WATER RESOURCES CONTROL BOARD <br /> DIVISION OF WATER QUALI'T'Y <br /> UST CLEANUP PROGRAM <br /> NOTICE OF REIMBURSEMENT <br /> WHEN STATE FUNDS ARE USED <br /> SITE CODE: 1631 DATE FIRST REPORTED: 09/19/92 <br /> SITE NAME: JACKPOT FOOD MART SUBSTANCE : 8006619 <br /> ADDRESS : 14000 E HWY 88 PETROLEUM:Y <br /> CITY: LOCKEFORD CA ZIP: 95237-9703 <br /> The following information has been provided to: <br /> RESPONSIBLE PARTY: TIME OIL ANASTASIACEMDUARTE <br /> PANY <br /> CONTACT: <br /> ADDRESS : 2737 WEST COMMODORE WAY <br /> CITY: SEATTLE STATE: WA ZIP: 98199-1233 <br /> Whereas the Legislature has appropriated funds from the California <br /> Hazardous substance Cleanup Fund to pay the local and state agency <br /> administrative and oversight costs associated with the cleanup of <br /> releases from underground storage tanks; and Whereas the direct and <br /> indirect costs of overseeing removal or remedial action at the <br /> above site are funded, in whole or in part, from the Hazardous <br /> Substance Cleannup Fund; and Whereas the above individual (s) or <br /> entity (ies) have been identified as the party or parties <br /> responsible for investigation and cleanup of the above site; YOU <br /> ARE HEREBY NOTIFIED that pursuant to Sections 25297 . 1 and 25360 of <br /> the Health and Safety Code, the above Responsible Party or Parties <br /> shall reimburse the State Water Resources Control Board for all <br /> direct and indirect costs incurred by any and all state and local <br /> agencies while overseeing the cleanup of the above underground <br /> storage tank site, and the above Responsible Party or Parties shall <br /> make full payment of such costs within 30 days of receipt of a <br /> detailed invoice from the State Water Resources Control Board. <br /> CONTRACT PROJECT DIRECTOR: Servicesin County Public <br /> Health <br /> alth <br /> Division <br /> Contractor # 39000 <br /> R 209-468-3450 DATE: 6 <br /> Signature Telephone Number <br /> STANDARD FORM UST01 (3/88) <br /> 89-017 (IV) 4/89 NORSTATE <br /> 1 <br /> J <br /> r 1 I <br />