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State N ter Resources Controx oard <br /> Division of Financial Assistance <br /> f.It irOP4,. <br /> 1001 I Street P Sacramento,California 95814 <br /> P.O.Box 944212•Sacramento,California•94244-2120 Arnold Sehwarzenegger <br /> Alan C.Lloyd,Ph.D. (916)341-5761.FAX(916)341-5806. www.waterboards.ca.gov/cwphome/ustcf <br /> � -Qov(ZMar <br /> u <br /> Agency Secrelary D I.�'�J �= <br /> e� 3 2.006 <br /> January 18, 2006 <br /> ENVIR'UNP,,1ENT HEALTH <br /> BENETO INC. PERIVIT/SERVICES <br /> ROGER LISTON <br /> P O BOX 980220 <br /> WEST SACRAMENTO, CA 95798 <br /> PMERGROU i STORAGE TANK CLEANUP FUND(FUND),REQUEST FOR FURTHER <br /> DOCUMENTATION DURING INITIAL REVIEW: CLAIM NUMBER 018588;FOR SITE <br /> ADDRESS: 1042 HARLAND RD S,FRENCH CAMP <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 page one (1) of your claim application,please clarify claimant's zip code and telephone number. <br /> The Fund has multiple claims under Beneto Inc. and all claims must be consistent. Your last address <br /> change request had a zip code of 95798(this claim has 95691)and telephone number of(209) 982- <br /> 4530 (this claim has (209)649-5466, which is not a valid phone number). Please clarify. If <br /> claimant's address/telephone information has changed from what out latest information shows(before <br /> this claim application),please complete the enclosed address change form,which will change all <br /> Beneto Inc. claims. <br /> • On page two(2)of your claim application,please clarify correct site address and revise if appropriate. <br /> You have listed 1042 S. Harland Rd.,but according to page five (5)of your claim application and the <br /> Underground Storage Tank Unauthorized Release(LEAK)/Contamination Site Report,the site <br /> location is 10842 S. Harlan Rd. What is the correct spelling and address number? Additionally, site <br /> is not Iisted in Geo Tracker. Please clarify. <br /> • On page five(5) of your claim application,please complete the sections under Priority Class <br /> Worksheet and Priority Class B-Sma1l Business. <br /> • On page six(6) of your claim application,please complete the section under Financial Responsibility. <br /> Please note that if using State Fund as a mechanism(as indicated by checking the box),you must <br /> check an additional mechanism box for required deductible. Refer to the enclosed Financial <br /> Responsibility Guide for the approved mechanisms that may be used in conjunction with the Fund <br /> (i.e., Chief Financial Officer Letter). <br /> • Claimant is required to have current financial responsibility documents on file. Enclosed is a <br /> Financial Responsibility Guide that explains the requirements. The Certification form is tabbed for <br /> your convenience and must be completed along with the applicable supporting documents. Please <br /> submit the original documents to the local regulatory agency and forward a copy to the Fund. <br /> Questions regarding financial responsibility should be directed to Marilyn Rogers at(916) 341-5764. <br /> California Environmental Protection A.ency <br /> %ao RecrcledPaper <br />