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2900 - Site Mitigation Program
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PR0545496
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
3/24/2020 3:24:47 PM
Creation date
3/24/2020 3:09:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545496
PE
2957
FACILITY_ID
FA0003564
FACILITY_NAME
BLUE STAR
STREET_NUMBER
4040
Direction
E
STREET_NAME
MAIN
STREET_TYPE
ST
City
STOCKTON
Zip
95205
APN
15727503
CURRENT_STATUS
02
SITE_LOCATION
4040 E MAIN ST
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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Khaled Anber -2- <br /> of the USTs owned or operated had product placed in them on or after January 1, 1991, attach the <br /> most recent copy of the UST Fee Return Form filed with the State Board of Equalization(BOE)with <br /> proof of payment(copy of canceled check); or get a signed letter from BOE indicating no fees are due <br /> (see enclosed information sheet for BOE). <br /> • Claimant has indicated that the USTs were removed post the December 22, 1998 deadline to have all <br /> single walled USTs either removed or upgraded. Claimant must demonstrate that the following <br /> actions were completed prior to December 22, 1998. <br /> 1. Date operation of USTs ceased. <br /> 2. Date USTs were emptied. <br /> 3. Claimant applied for a temporary/permanent closure permit for the USTs(Submit copy). <br /> Priority Class "B" small business is for those businesses that are independently owned and operated,not <br /> dominant in its field of operation and employs 100 or less employees,including all affiliates, and <br /> averages annual gross receipts of$10 million dollars or less over the previous three years. If a business is <br /> a manufacturer,there is no revenue test. However,the manufacturer must also employ 100 or less <br /> employees including affiliates. <br /> If you believe that you qualify,you may request the Fund review your claim to determine eligibility for <br /> Priority Class "B". In order to determine eligibility,the following documents must be submitted and <br /> reviewed: <br /> • Complete the Enclosed form "Request for Assignment of Claim to Priority Class B". <br /> AND <br /> • Submit the three previous years of complete federal tax returns. Refer to the enclosed"Chart of <br /> Required Federal Tax Returns" to determine all federal tax forms that must be submitted. <br /> AND <br /> • Submit documentation supporting the number of employees for the claimant, claimants business and <br /> any affiliates(i.e.Department of Employment Development(DE6)payroll reports for the last four <br /> quarters). <br /> NOTE: Failure to respond to this request within thirty(30)calendar days from the date of this letter will <br /> result in an ineligibility determination of your claim. <br /> If you have any questions,please contact me at(916)341-5761. <br /> Sincerely, <br /> Barbara Rempel <br /> Claims Review Unit <br /> Underground Storage Tank Cleanup Fund <br /> cc: Mr. Gordon Boggs Ms.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 /> C'alif'ornia EoYkovmeBW Protection Agencrl <br /> .o <br /> �,�Recr ded Paper <br />
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