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n M1 <br /> (.4 <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> it <br /> LOCAL OVERSIGHT PROGRAM <br /> Responsible Party Information as of 6/15/2005 <br /> LOP SITE FILE INFORMATION <br /> '21 <br /> Case# 117611 <br /> Site Name UNOCAL#5886 s 1D ,111.Oi10474383 '# <br /> Location 2701 W MARCH LN <br /> STOCKTON,CA 95219 <br /> Phone 209-473-7337 <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 with this <br /> site. If this billing information is not accurate, please make necessary changes in the space provided,date] <br /> sign and return this form. <br /> v it <br /> ii 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 CONOCOPHILLIPS <br /> Contact SHELBY LATHROP <br /> Address 76BROADWAY <br /> SACRAMENTO,CA 95818 <br /> Phone <br /> Tf <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT: 1,the undersigned owner,operator,primary responsible party,or agent of same,acknowledge that all <br /> site,and/or project specific,EHD hourly charges associated with this site will be billed to the party identified as the PRIMARY RESPONSIBLE PARTY on this <br /> forma I also certify that all operations will be performed in accordance with all applicable Ordinate Codes and/or Standards and State and/or Federal Laws. <br /> PRINTED NAME: TITLE: <br /> REPRESENTING: <br /> !SIGNATURE: Date I <br /> Report#8021 Date 6115/2005 <br />