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SITE INFORMATION AND CORRESPONDENCE_FILE 2
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3500 - Local Oversight Program
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PR0545246
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SITE INFORMATION AND CORRESPONDENCE_FILE 2
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Last modified
1/30/2020 4:05:50 PM
Creation date
1/30/2020 1:53:48 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
FILE 2
RECORD_ID
PR0545246
PE
3528
FACILITY_ID
FA0003611
FACILITY_NAME
PARKWOODS GAS & FOOD
STREET_NUMBER
1612
Direction
W
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95209
APN
07728002
CURRENT_STATUS
02
SITE_LOCATION
1612 W HAMMER LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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I� <br /> ESOURCes CONTROL W�D <br /> , <br /> ERR ROGRAMS <br /> t� STA W AT F CLEAN W ATER F GRAM :° � <br /> DNISION O <br /> UST LOCAL OVERSIGHT PRO 014550-0 4 <br /> STANDARD AGREEMENT NO. 13 <br /> NOTICE OF RESPONSIBILITY <br /> ' 5!13188 , <br /> DATE FIRST REPORTED: <br /> 8006619 <br /> ARCO Station#548 SUBSTANCE'. ISTATE (N} <br /> SITE CODE: 1127 FEDERAL ( } <br /> SITE NAME: A <br /> ADDRESS: 1612 Hammer Lane STATE-. CA ZIP: 95207 <br /> li CITY- <br /> Stockton <br /> it <br /> RESPONSIBLE PARTY: M Hamzeh Y Hajian PTP <br /> RESPONSIBLE PARTY CONTACT. Yadi Hajian } <br /> ADDRESS: 111 Quintas Lane STATE: CA ZIP: 94556 <br /> CITY: Moraga <br /> Pursuant to Sections 25297.1 and 25297.15 of the Health and Safety Code, you are hereby notified that the <br /> above site has been placed in the Local Oversight Program and th'e' individuals) or entity(ies) shown above, or <br /> on the attached list, has(have) been identified as the party(ies) responsible for investigation and cleanup of the <br /> above site. Section 25297.15 further requires the primary or active Responsible Party to notify all current <br /> record owners of fee title before the local agency considers cleanup or site closure proposals or issues a <br /> closure letter. For purposes of implementing section 25297.15, this agency has identified M Hamzeh Y Haflan <br /> PTP as the primary or active Responsible Party. It is the responsibility of the primary or active Responsible <br /> Party to submit a letter to this agency within 20 calendar days of receipt of this notice which identifies all <br /> current record owners of fee title. It is also the responsibility of the primary or active Responsible Party to , <br /> certify to the local agency that the required notifications have been made at the time of cleanup or site closure <br /> proposal is made or before the local agency makes a determination that'no further action is required. If <br /> property ownership changes in the future, you must notify this local agency within 20 calendar days from when <br /> you are informed of the change. �� R <br /> J7 <br /> Any action or inaction by this local agency associated with corrective action, including responsible party <br /> identification, is subject to petition to the State Water Resources Control'Board. Petitions must be filed within <br /> 30 days from the date of the action/inaction. To obtain petition procedures, please FAX your request to the <br /> State Water Board at (916) 341-5808 or telephone (916) 341-5851? <br /> 13 <br /> Pursuant to Section 25299.37(c)(7) of the Health and Safety Code)i a responsible party may request the <br /> designation of an administering agency when required to conduct corrective action. Please contact this office <br /> for further information about the site designation process. <br /> ;1 <br /> Contract Project Dire tor: c I I <br /> y { date <br /> Signature Telephone Number <br /> R <br /> Add: X Reason: New Property Owner ii + <br /> Delete: Reason: <br /> Change: Reason: it i <br /> I� <br /> (NOR REV 01/29/99[RECEIVED 02116!99]) <br /> 3f <br /> If 'f <br /> .i <br />
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