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—A SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> LOCAL OVERSIGHT PROGRAM <br /> Responsible Party Information as of 6/15/2005 <br /> LOP SITE FILE INFORMATION <br /> Local..Agenc Usc OnI� <br /> Case# 1223 <br /> RemedialRecordd9ID 800000483 <br /> ht <br /> Site Name SHELL STATION l <br /> Location 6131 PACIFIC AVE Site Record ID SD0000488 <br /> STOCKTON,CA 95207 Facility Record ID FA0002324 <br /> Phone 209-477-1703 Current Site Business MARIGOLD SHELL <br /> APN 097-464-18 <br /> The following information is currently on file with this Department. The Primary Responsible Party <br /> identified below will be responsible for payment of invoices for direct oversight charges associated w]th'issite. If this billing information is not accurate, please make necessary changes in the space provided <br /> sin and return this form. MEN <br /> Make changes/corrections in RED ink or pencil. <br /> RESPONSIBLE PARTY INFORMATION RP INFORMATION CHANGE(date) <br /> PRI-RP has been named a Primary RP. <br /> Business Name SHELL OIL PRODUCTS US <br /> Contact DENIS L BROWN <br /> Address 20945 S WILMINGTON AVE <br /> CARSON,CA 90510-1039 <br /> Phone <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT: I,the undersigned owner,operator,primary responsible party,or agent of same,acknowledge that all <br /> forma I also certify that specific,all operaathourly tions will berges performed associated acco dance with as site lll applicable the <br /> Ordinace Codes a d/othe <br /> r Standards and StatteRESPONSIBLE <br /> d/orr Federal Laws.this <br /> PRINTED NAME: <br /> TITLE: <br /> REPRESENTING: <br /> SIGNATURE: Date <br /> Date 6/15/2005 <br /> Report#8021 <br />