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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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99 (STATE ROUTE 99)
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23987
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3500 - Local Oversight Program
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PR0544915
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
11/19/2024 1:57:05 PM
Creation date
10/3/2019 8:11:50 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0544915
PE
3528
FACILITY_ID
FA0003884
FACILITY_NAME
GOLDEN EAGLE AVIATION INC
STREET_NUMBER
23987
Direction
N
STREET_NAME
STATE ROUTE 99
City
ACAMPO
Zip
95220
CURRENT_STATUS
02
SITE_LOCATION
23987 N HWY 99
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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Lodi Airport Maintenance Corp. -2- <br /> • Complete the Enclosed form"Request for Assignment of Claim to Priority Class <br /> AND <br /> • Three previous years of complete federal tax returns. Refer to the enclosed"Chart of Required <br /> Federal Tax Returns" to determine if you submitted all federal tax forms that must be submitted. <br /> We received taxes(Form 1120)for the years 2002, 2003 and 2004 for Lodi Airport Maintenance <br /> Corp.(please do not duplicate what was already sent). <br /> AND <br /> • Submit documentation supporting the number of employees for the claimant,claimants business and <br /> any affiliates(i.e.Department of Employment Development(DE6)payroll reports for the last four <br /> quarters). <br /> NOTE: Failure to respond to this request within thirty(30)calendar days from the date of this letter may <br /> result in an ineligibility determination of your claim: Note that only claimant can make changes to the <br /> claim application(same person that signed claim application page seven),unless a Power of Attorney is <br /> on file with the Fund,which designates someone to sign Fund documents on behalf of claimant. If you <br /> make changes,please initial and date changes in ink(by claimant). <br /> If you have any questions,please contact me at(916) 341-5761, <br /> Sincerely, <br /> Barbara Rempe<_ <br /> Claims Review Unit <br /> Underground Storage Tank Cleanup Fund <br /> cc: Mr.Brian Newman(w/o enclosures) 'Ms.Margaret Lagorio (w/o enclosures) <br /> RWQCB,Reg. 5 -Sacramento San Joaquin County EHD <br /> 11020 Sun Center Drive 304 E Weber Ave, 3rd Floor <br /> Rancho Cordova, CA 95670 Stockton, CA 95202-2708 <br /> California En vironmenta/Protection Agency <br /> P.,a Recycled Paper <br />
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