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SITE INFORMATION AND CORRESPONDENCE
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3500 - Local Oversight Program
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PR0545208
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
1/27/2020 4:27:06 PM
Creation date
1/27/2020 4:08:19 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545208
PE
3528
FACILITY_ID
FA0003772
FACILITY_NAME
GRANT LINE SHELL*
STREET_NUMBER
2375
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
21402017
CURRENT_STATUS
02
SITE_LOCATION
2375 W GRANT LINE RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\sballwahn
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EHD - Public
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Equilon Enterprises LLC -2- <br /> • Submit a copy of the current permit to own or operate the UST from the local <br /> regulatory agency (Air Pollution permits are not acceptable). The latest permit <br /> submitted is dated 111105-12131105. <br /> • Submit a copy of claimant's first permit to own or operate the USTs (claimant <br /> acquired site 711198 per page three of your cldim application). <br /> • Claimants who acquire sites after January 1, 1990, must complete the enclosed <br /> Claimant Certification of Compliance with Fund Regulations Section 2811(a)(1)-(2) <br /> and Health & Safety Code, Section 25299.54, subdivision (h). <br /> AND <br /> • Provide a copy of-the first-permit to own or'operate the USTs from the local <br /> implementing agency for this site (USTs installed in 1991 per page two of your claim <br /> application). <br /> • Claimant is required to have current financial responsibility documents on file. The <br /> Certification of Financial Responsibility (dated 3131105) is for Shell Oil Products US <br /> (not claimant's name). The Insurance Policy is also for Shell Oil Products US and <br /> the policy is for the period of 111105-111/06. The Financial Responsibility Guide <br /> explains the requirements and is available on our website at: <br /> http•//www waterboards.ca.gov/cwphome/ustcf/docs/financialrespoilsguide/financialresp <br /> onsguide.pdf <br /> The Certification form must be completed along with the applicable supporting <br /> documents. Please submit the original financial responsibility documents to the local <br /> regulatory agency and forward a copy to the Fund. Questions regarding financial <br /> responsibility should be directed to Marilyn Rogers at (916) 341-5764. <br /> • Claimant is required to provide documentation that all current and prior UST fees <br /> due on or after January 1, 1991 imposed by Section 25299.41 of the Health and <br /> Safety Code have been paid. Provide a copy of the most recent copy of the UST <br /> Fee Return Form filed with the State Board of Equalization (BOE) with proof of <br /> payment (copy of canceled check). The BOE letter you provided (dated May 4, <br /> 2005) is for the period January 1, 1991 through December 31, 2004. <br /> NOTE: Any enclosures with our previous letter are not duplicated with this letter. <br /> Failure to respond to this request within thirty (30) calendar days from the date of this <br /> letter will result in an ineligibility determination of your claim. <br /> California Environmental Protection Agency <br /> CC}Recycled Paper <br />
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