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3500 - Local Oversight Program
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PR0545285
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
2/3/2020 12:47:00 PM
Creation date
2/3/2020 11:46:42 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545285
PE
3528
FACILITY_ID
FA0006068
FACILITY_NAME
PALADIN MILEAGE CENTER
STREET_NUMBER
2421
STREET_NAME
HOLLY
STREET_TYPE
DR
City
TRACY
Zip
95376
CURRENT_STATUS
02
SITE_LOCATION
2421 HOLLY DR
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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I <br /> I <br /> r <br /> JOHN GEMELOS <br /> k <br /> Page J01114, <br /> The following documents needed to submit your reimbursement request are enclosed: <br /> "Reimbursement Request Instructions" package. Retain this package for future <br /> requests. These instructions <br /> must be followed when seeking <br /> reimbursement . <br /> reimbursement for corrective action costs incurred after January 1, 1988. <br /> Included.in the instruction package are samples of completed reimbursement <br /> request forms and spreadsheets. T <br /> "Bid Summary Sheet" to list information on bids received which must be r <br /> • completed and returned. <br /> • "Certification of Non-Recovery From Other Sources" which must be returned <br /> before any reimbursements can be made. <br /> "Reimbursement Request" forms which you must use to request reimbursement <br /> of costs incurred. <br /> "Spreadsheet" forms which you must use in conjunction with your <br /> reimbursement request. <br /> • "Claimant Data Record" (Std. Form 204) which must be completed and <br /> returned with your first reimbursement request. <br /> We continuously review the status of all active claims. If you do not submit a <br /> treimbursement request or fail to proceed with due diligence with the cleanup, we will <br /> take'steps to withdraw your LOC. <br /> If you have any questions regarding the enclosed documents, please contact Annabel L. <br /> Mackey at (916) 227-4334. <br /> Si erely, <br /> w <br /> Dave Dean r Manager <br /> UST Cleanup Fund Program <br /> Enclosures <br /> cc: Mr. Gordon Boggs `v s. Margaret Lagorio <br /> RWQCB, Reg. 5 - Sacramento San Joaquin County EHD <br /> 3443 Routier Road P.O. Box 2009 <br /> Sacramento,'CA 95827-3098 Stockton, CA 95201 <br /> Recycled Paper our mission is to preserve and enhance the quality of California's water resources,and <br /> ensure their proper allocation and efficient use for the benefit of present and future generations. <br />
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