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State Water Resources Control Board <br /> Division of Financial Assistance o <br /> 10011 Street•Sacramento,Califomia 9581``��Jjtp1��[[ ■11dd <br /> Alan C.Lloyd,Ph.D. P.O.Box 944212•Sacramento,California•94242KOCT 25 -AN 11: l,�nold Schwarzeoegger <br /> Agency Secretary (9r6)341-5761#FAX(916)341-5806♦ www.watuboads.m.gov/cwphome/ustcf .Governor <br /> SA% " <br /> J ,ClUIN; COUNTY <br /> HEALTH DEPARIR ,THENT <br /> October 19,2005 <br /> LODI AIRPORT MAINTENANCE CORP. <br /> P O BOX 10 . <br /> ACAMPO, CA 95220 <br /> UNDERGROUND STORAGE TANK CLEANUP FUND(FUND),REQUEST FOR FURTHER <br /> DOCUMENTATION DURING INITIAL REVIEW: CLAIM NUMBER 018483; FOR SrFE <br /> ADDRESS: 23987 NORTH HWY 99,ACAMPO <br /> After reviewing your claim application to the Cleanup Fund,we find that the following additional <br /> information is needed to determine your eligibility for placement on the Priority List: <br /> On pages one(1)three (3) and five (5) of your claim application,clarify who is the eligible claimant,the <br /> UST Owner(s) and UST Operator(s)'. The permits submitted show Robert Kupa as the UST Owner(not <br /> Lodi Airport Maintenance Corp.). Revise these pages to reflect correct information or clarify. Claimant <br /> cannot be a dba. <br /> • Provide a copy of Corporations Secretary of State. <br /> • Provide a copy of the UST Unauthorized Release (LEAK)Contamination Site Report. <br /> • Submit a map drawn to scale that shows all underground storage tank locations, a north arrow and <br /> distances relative to the nearest public road. <br /> • Claimant is required to provide documentation that all current and prior UST fees due on or after <br /> January 1, 1991 imposed by Section 25299.41 of the Health and Safety Code have been paid. If any <br /> of the USTs owned or operated had product placed in them on or after January 1, 1991, attach the <br /> most recent copy of the UST Fee Return Form filed with the State Board of Equalization(BOE)with <br /> proof of payment(copy of canceled check). <br /> Priority Class 'B" small business is for those businesses that are independently owned and operated,not <br /> dominant in its field of operation and employs 100 or less employees,including all affiliates, and <br /> averages annual gross receipts of$10 million dollars or less over the previous three years. If a business is <br /> a manufacturer,there is no revenue test. However,the manufacturer must also employ 100 or less <br /> employees including affiliates. <br /> If you believe that you qualify,you may request the Fund review your claim to determine eligibility for <br /> Priority Class "B". hi order to determine eligibility, the following documents must be submitted and <br /> reviewed: <br /> Claimant is advised that an eligible claimant must have either owned or operated the subject leaking UST,is the <br /> resnonsible party directed to undertake corrective action for the unauthorized release by the local regulator and is the <br /> party paying for the costs of cleanup. <br /> California Environmenta/Protection Agency <br /> Cs Recpc/ed Paper <br />